2017 Stampede 5k Registration Form (Race Day Sunday July 30 2017 8:00am)
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Last Name
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Phone Number
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Mailing Address
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City, State Zip
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E-Mail
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Gender
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Form of Payment? - All checks payable to CFF
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WAIVER: I, the undersigned, agree to indemnify and hold harmless the Cystic Fibrosis Foundation from all cost, expense and liability arising out of my or my child’s participation in this event to benefit the Cystic Fibrosis Foundation. I hereby waive all claims for damage or loss to my or my child’s person or property which may be caused by any act, or failure to act, by the Cystic Fibrosis, its officers, agents or employees arising directly or indirectly from my or my child’s participation in this event; and I hereby assume liability for any loss, damage or other liability from such event. IMPORTANT: Participants under age 18 must have this form checked by a parent or guardian.
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My under 18 child has my permission to participate..please type your name:
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