For Mom's Day 5K Registration Form       Saturday, May 10, 2014

WAIVER. Knowingly, I am entering and participating in the MDRA For Mom's Day 5K I hereby waive all claims against sponsors, directors, employees, volunteers and all city and county authorities for any injury I may receive as a result of my participation in this event. I assume all risks. I have read the foregoing and certify my agreement by my signature below.

Signature
(by parent or guardian if
participant is under 18) ___________________________________________________

PRINT OUT THIS ENTRY FORM AND MAIL IT WITH FEE TO

Make check payable to MDRA

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