General Sterling Price Days Festival

Sterling Price Days Festival
5K Run / Walk Registration Form
First Name: *
Last Name: *
If Team List Members
....


City
State
Zip Code
Phone
Email
Please Check	Walker Runner
Sex
Shirt Size
Age on 09/10/2011
Race Fee Paid
Waiver: (Participants under age 18 must have guardian’s signature to be accepted) I am aware that participating in a running/walking event, I willingly assume the risks of running on public streets and assume any and all other risks that are foreseen and unforeseen, including, but not limited to, the risks of falls, the effects of weather, condition of roads, and the probability of increased risk, if I am inadequately trained and medically impaired. I understand that any rule interpretation is determined by the race director and his or her judgment will be final. Knowing all these and other facts, and in consideration of your accepting my entry to participate in the Sterling Price Days Festival 5K Walk/Run, I hereby, for myself, heir, personal representative, and anyone else who my claim on my behalf, covenant not to sue, and waive and release Sterling Priced Days Festival, Inc. and the City of Keytesville from any and all claims of liability for death, personal injury and property damage of any kind arising out of or in the course of my participation in this race. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, video graphs, or any other record of this event for any purpose whatsoever.
I have read the waiver and agree to the terms and conditons. *	Yes

49th Annual General Sterling Price Days Festival