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4th Annual Jag Jog 5K/ 1 Mile Run/Walk Entry From (May be duplicated.)
Mail entry from to Summit HS PTSA, 1071 W. Turner Warnell, Arlington, TX 76001 (Make checks payable to: Summit High School PTSA) $15.00 if postmarked by --------, and $20.00 on race day
Name_________________________________ Age (as of 11/04/07)____________
Address_____________________________________________________________
City__________________State_____Zip____________ Phone #______________
T-shirt size (adult) S___M___L___XL___ Gender: F___M___
In consideration of the acceptance of this entry, I, the undersigned, assume full and complete responsiblity for any injury or accident which may happen to me during the event know as Jag Jog 5K/ 1 Mile Run/Walk or while I am on the premises of the event, and I hereby release and agree to indemnify, defend and hold harmless the City of Arlington, MISD Summit High School, sponsors, promoters, and all otehr persons or entities associated with this event from all injuries and damages, or otherwise.
_____________________________ __________________________________________ Signature Parent's/Guardian's Signature (if under 18 years) |
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