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Enter your name and size to sign up for a T-Shirt.

name *

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I understand that I will have to pay $20 upon arrival. This includes registration, a t-shirt, and a box of Girl Scout cookies of your choice *

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I acknowledge that my participation in the 5k Fun Run and Walk involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge and the City of Bloomfield, GSUSA, GSNMT, GIrl Scout Troop 10068, and Bloomfield First United Methodist Church their respective directors, officers, employees, affiliates, members, agents and representatives, of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the 5k run and walk. *

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