Sunrise Park 5k Walk/Run For Fitness Registration Form
May 12, 2012

WAIVER. In consideration of this entry, being accepted, I hereby for myself, heirs, executers and administrators waive and release any claims that I may have against the City of White Bear Lake or the White Bear Lake school district 5k Fun Walk/Run. I certify that I am physically able to
participate in this event.
Signature
(by parent or guardian if
participant is under 18) ___________________________________________________
PRINT OUT THIS ENTRY FORM AND MAIL IT WITH FEE TO
Sunrise Park Middle School
Att: Liz Boleen
2399 Cedar Avenue
White Bear Lake, MN 55110
Make check payable to Sunrise Park Middle School
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