Glow Run Registration
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I fully release and discharge Montezuma After Prom from any and all claims from injuries, including death, damages, or loss in which the participant(s) may sustain arising out of connection with, or in any way associated with, the Montezuma After Prom Committee.

Mail payment to:
Marie Boulton PO Box 400 Montezuma, IA 50171.
Checks can be made out to Montezuma After Prom.

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