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Stocking Stuffer 5k
Re*Imagine Medical Lake Presents: Stocking Stuffer 5K
Time: 1:00pm
Location: TBD

Must Pre-Register and Pre-Pay (same day online payment accepted)
Buy-Now Payment Button http://medicallake.org/5k 
Mail-In Registration & payment to: ML5K, PO Box 344, Medical Lake, WA 99022
Contact: Amanda Berquist (509) 263-0414 – amanda@medicallake.org 

Description: Annual Re*Imagine Christmas Stocking Stuffer 5k Fun Run/Walk (pets welcome). Route is the infamous Medical Lake Trail. *Same Day Registrations Accepted (online)    
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Email *
First Name
Last Name
Address
City
State
Zip Code
Number of adults in your group (including yourself)
Number of children in your group
Number of dogs in your group
Amount you are paying today? $10 per participants, Kids & dogs free w/foodbank donation. To pay return to 5K page http://medicallake.org/5k   
Release and Waiver of Liability Agreement:
Release, Hold Harmless and Agreement not to Sue: I fully understand that my/my child’s participation in the Stocking Stuffer 5K (hereinafter “event”) exposes me/my child to the risk of personnel injury, death or damage to or loss of personal property. I hereby acknowledge that I am voluntarily participating/allowing my child to participate in this event and agree to assume any and all such risk. Children under the age of 16 will be required to have a parent/guardian escort during the entirety of the event and the parent/guardian assumes all associated risk.

I hereby release, discharge and agree not to sue the City of Medical Lake, Winter Festival Committee, Re*Imagine Medical Lake, and/or any organization associated with the event for any injury, death or damage to or loss of personal property arising out of, or in connection with my participation in the event from whatever cause, including the active or passive negligence of the 5K organizers, partners, and volunteers. In consideration for me and/or my child being permitted to participate in the event, I hereby agree, for myself and/or my child, my and my child’s heirs, administrators, executors and assigns that I shall indemnify and hold harmless the City of Medical Lake, Winter Festival Committee, Re*Imagine Medical Lake, and/or any organization associated with the event, and all other participating organizations from any and all claims, demands, actions or suits arising out of or in connection with my participation in the event. I have carefully read this release, hold harmless and agreement not to sue and fully understand its contents.  I am aware that it is a full release of all liability and sign of my own free will. I agree that pictures and images taken during the event may be used for future promotional purposes.
Signature (typed signature is Proof of Signing)
Place of Signing (City,State)
Agreement
A copy of your responses will be emailed to the address you provided.
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