GRR8 Soccer Fundraiser: 5K Run/Walk Entry Form
Saturday, September 18, 2021
Check-In/Registration at 7:15AM. Event begins at 8:00AM.
Katy Trail Station, Green Ridge, MO 65332
Cost: $20. (After September 15th: $25)
Make Checks Payable to Green Ridge R-8 School.
Mail/Deliver Payment To: Andy Hoos. 404 S. Missouri Street., Green Ridge, MO 65332
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Name *
Email *
Phone *
Address *
Age as of Sept. 18, 2021 *
T-Shirt Size *
Required
RELEASE OF LIABILITY: I know that participating in a run/walk is a potentially hazardous activity. I represent that I am medically able and properly trained to participate in this event. I assume all risks associated with this event, including but not limited to falls, effects of weather, etc. and acknowledge that all risks are assumed by me. I agree to waive, release and discharge the GRR8 School District and its respective representatives any rights, claims or demands therefore which I may have or which I may hereafter accrue to me arising out of injury to my person or my property incurred in connection with participation in this event held on Sept. 18, 2021. *
Required
Signature of Participant *
Signature of Parent/Guardian (if under age 18) *
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