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Captain Request - Festival of Families 5K
September 21, 2019
Current Captain Application? *
I have filled out the Captain Application on the Michigan Chapter website at: https://www.myteamtriumph-mi.org/become-a-captain
Last Name *
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First Name *
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Street Address *
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City *
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State *
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Zip *
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Phone *
xxx-yyy-zzzz
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Email *
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Emergency Contact Name *
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Emergency Contact Phone *
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Birthdate *
MM
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DD
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YYYY
Shirt Size *
mm/dd/yyyy
Teammate Request
If you would like to team with specific Angels for this event, please share their names here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
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Event Waiver *
In consideration of accepting this registration for the Festival of Families 5k; I, the participant, intending to be legally bound hereby waive or release any and all right and claims for damages or injuries that I may have against Sunset Coast Striders/Tri-Avengers and all of their agents assisting with Festival of Families 5k for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after Festival of Families 5k. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of Sunset Coast Striders/Tri-Avengers.I certify as a material condition to my being permitted to engage in Festival of Families 5k, I participate freely, that I am physically fit and that my physical condition has been verified by a licensed Medical Doctor. By submitting this application, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver.
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