10 Kato Run Registration Form
Monday, May 28, 2012
WAIVER. I hereby signify that I understand that Immanuel St. Joseph's Hospital, its local chapter, the 10 Kato Run sponsors, the city where I am participant and all other organizations and persons connected with this event are not responsible for any injuries which I may suffer while taking part in this event or as a result thereof. I waive any claim for damages to my person or property.
Signature
(by parent or guardian if
participant is under 18) ___________________________________________________
PRINT OUT THIS ENTRY FORM AND MAIL IT WITH $18 ($20 AFTER MAY 11, $25 ON RACE DAY) TO
10 Kato Run
340 N. Redwood Dr.
Mankato, MN 56001
Make check payable to 10 Kato Run
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