JOE PLANT MEMORIAL RUN/WALK REGISTRATION FORM
SATURDAY, JUNE 9, 2012
WAIVER. Knowingly and at my own risk I do hereby apply to enter an athletic contest. I hereby agree that I release and discharge the Joe Plant Memorial Event, the City of St Paul, or any agent of any of these organizations or their successors from all claims, demands, injuries, damages, actions or causes of action and from all acts of active or passive negligence on the part of such organizations or corporations, or their agents. The undersigned also grants full permission to the race and any organization conducting the race and or agents authorized by them to use any photographs, videotapes, or other record of this event for any purpose. I agree to abide by road race etiquette and safety rules for safe racing by not bringing onto the course during the races any leashed or unleashed pets/animals.
(by parent or guardian if
participant is under 18) ___________________________________________________
PRINT OUT THIS ENTRY FORM AND MAIL IT WITH FEE TO
Joe Plant Memorial Fund
Make check payable to Joe Plant Memorial Fund
3929 Stonebridge Drive N
Eagan, MN 55123
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