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1/22113 Festival of Lales 1/2 Mile Kids (Ages 410) Free Run Registration - Saturday, July27, 2013 <br /> House Number and Street Address* <br /> F <br /> City, State, Zip Code* <br /> Telephone Number* <br /> Gender of participant* <br /> Q Female <br /> OMale <br /> Age of participant as of July 27, 2013* <br /> 04 <br /> 05 <br /> 06 <br /> 07 <br /> 08 <br /> 09 <br /> 010 <br /> Desired Shirt Size for the participant - (Youth Sizes)* <br /> OSmall <br /> QMedium <br /> Q Large <br /> Q Extra Large <br /> E -mail address of the parent/guardian submitting this entry* <br /> Name of individual completing this registration.* <br /> I I <br /> WAIVER <br /> By. submitting this form electronically you are stating that you have read and understand the <br /> information provided below. <br /> I know that participating in a running event is a potentially hazardous activity and that my child <br /> should not enter and run unless they are medically able and properly trained. I and my child agree <br /> to abide by any decision of a race official relative to their ability to safely complete the running <br /> event. I as the parent/guardian for my child assume all risk(s) associated with running in this event, <br /> including but not limited to: falls, contact with other participants, the effects of weather, including <br /> high heat and /or humidity, and the conditions of the race course, all such risk(s) being known and <br /> appreciated by my child and myself as the parent/guardian. Having read this waiver and knowing <br /> these facts and in consideration of your accepting this entry form, I, for my child and anyone <br /> entitled to act on our behalf, waive and release the organizers of the Festive of the Lakes 8K, City <br /> of Centerville, USATF, and all sponsors from all claims or liabilities of any kind arising out of my <br /> https: / /adobefornr.central .com*f? - pbz2JRdL4LiZgYttjgZNZtw 213 <br />