DEW RUN REGISTRATION FORM       Saturday, June 20, 2015

WAIVER. I hereby, for myself/child, waive and release any and all rights and claims for damages I/my child may have against the City of Farmington and its representatives, successors and assigns for any and all injuries suffered by me/my child at any activity sponsored by these groups.

Signature
(by parent or guardian if
participant is under 18) ___________________________________________________

MAIL ENTRY FORM WITH $20.00 BY JUNE 15 ($4 FOR 1/2 MILE JR. JOG) TO

Make all checks payable to Farmington Parks & Recreation.

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