St. Mary's Blue Run Registration Form
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Email Address *
Your answer
Which level of participation? *
Which Division *
T-Shirt Size *
Please read the following statement: *
In consideration of your acceptance of this entry, I, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all sponsors and their representatives, successors, and assigns from any and all rights and claims for damages I mayhave arising out of any injuries and illnesses suffered by me in this event, including those which may be attributable to weather conditions. I attest and verify that I will participate in this event as a footrace entrant or walker that I am physically fit and have sufficiently trained for the completion of this event. Further, I hereby grant full permission to any and all of the foregoing to use my name and any photographs, videotapes, motion pictures, recording or any other record of my participating in this event for any publicity and/or promotional purposes without obligation or liability by me. I have read the entry information provided and certify my compliance by clicking I AGREE below.
Would you like to add additional runners to your registration? *
If yes, you will be taken to an additional page to add more runners. Otherwise you will have the option to submit this form on the next page.
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