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1/22113 Festival of the Labs h.-Une Skate Registration -Saturday, Ju1y27, 2013 Same Day Registration & C... <br /> Last Name* <br /> House Number and Street Address* <br /> City, State, Zip Code* <br /> T Telephone Number* <br /> Age as of July 27, 2013* <br /> Gender of Participant* <br /> Q Female Q Male <br /> Participant's Shirt Size (Adult Sizes Available Only)* <br /> QExtra Small QSmall QMedium 0Large <br /> }Extra Large <br /> E -mail address of the individual submitting this registration* <br /> Name of individual completing this registration* <br /> WAIVER <br /> I know that participating in an in -line skating event is a potentially hazardous activity and that I <br /> should not enter unless I am medically able and properly trained. I agree to abide by any decision <br /> of a race official relative to my ability to safely compete in this event. I assume all risk(s) associated <br /> with the skating event, including but not limited to: falls, contact with other participants, the effects <br /> of weather, including high heat and /or humidity, traffic and the conditions of the path /roadway, all <br /> such risk(s) being known and appreciated by me. Having read this waiver and knowing these facts <br /> and in consideration of your acceptance of my entry, I, for myself and anyone entitled to act on my <br /> behalf, waive and release the organizers of the Festival of the Lakes In -Line Skate, the City of <br /> Centerville, USATF, and all sponsors from all claims or liabilities of any kind arising out of my <br /> participation in this event or carelessness on the part of the persons named in this waiver. Further, <br /> I grant permission to all of the foregoing to use any photographs, motion pictures, recording, or <br /> other record of this event for legitimate purposes. <br /> Submit <br /> Powered by Adobe Forms Central I Terms of Use I Report Abuse <br /> https: / /adobeformscentral.com?P 4UKcYq IN 1 mJQ7Fg mUwPsTg 212 <br />