3rd Annual D.E.F.F. (Dearborn, Edsel Ford, Fordson) Unity Run at Ford Field in Dearborn
Sunday, October 11th events from 9:30AM to Noon.
First Name *
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Last Name *
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Grade *
School currently attending
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5K race *
Phone # (Please include area code) *
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T-shirt Size (included with registration by Sept. 27th 2015). *
Registrant (Please check only one) *
Team Name
(4 individuals to a team)
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WAIVER: Please accept my entry for the 3rd Annual 2015 D.E.F.F. Unity Run. I hereby state I have conditioned myself to participate in the event I have chosen. I, or executors, my administrators, assignees, and myself do hereby release and discharge Dearborn Public Schools, and any business associated with the race route from damages, personal injuries, or expenses associated with my participation in the run for any and all purposes. By signing my name below, I hereby certify that I have read all the terms and conditions of this release and do intend to be legally bound thereby. I also understand that I may be photographed during the event. *
Required
Adult, or student 14 or older, sign electronically below. *
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Under 14 years old requires parental/guardian signature below.
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Please send check via US mail to: Stacy Rumler, Dearborn High School, 19501 Outer Drive, Dearborn, MI 48124. Checks should be made out to Dearborn Public Schools. Information can be sent via interoffice if DPS registrant. To pay by credit card please call, 313-827-1628. *
Please check payment method below.
Amount to be paid
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Gender
I will be entering the individual or team costume competition. *
All costumes must be appropriate to a family event.
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