June 9, 2018 G.O. DAY Race Registration (INDIVIDUAL) $15
Please fill out the registration, click on submit and pay. Thank you!
First Name *
Your answer
Last Name *
Your answer
Address *
Street Address, City, Zip
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Email (optional)
We only use this to contact you if we have a question about your registration.
Your answer
I would like to participate in the *
Gender *
Age Category *
T-shirt Size *
Waiver: In consideration of the acceptance of my entry, I do hereby, for myself, my heirs, executors and administrators waive, release and forever discharge any and all rights and claims for damages, which I may have or which may hereafter accrue to me, against The Florence Civic Club, Florence Therapy & Wellness, 406 Family Aid Foundation, all other race sponsors, or their officers, agents, representatives, or assigns for any and all losses or damages which may be sustained and suffered by me in connection with my association with or entry and/or arising out of my traveling to, participating in a said race. Should injury occur I will accept first aid. Photographs or videotapes of participants may be used for marketing purposes. I have read and understand the above statement. My signature confirms its full acceptance. *
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