RUN THE VALLEY REGISTRATION FORM      Saturday, April 12, 2014

WAIVER. I am entering this event at my own risk and assume all risk and responsibility for injuries I may incur as a direct or indirect result of my participation in this event. I for myself and my heirs and executors, also agree not to hold any participating sponsor or supporters or the directors, employees, and agents of such parties responsible for any such in jury or damage suffered. I verify that I have full knowledge of the risks involved with this event, and that I am physically fit and sufficiently trained to participate in it.

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

MAIL OR BRING ENTRY FORM WITH FEE TO

Make all checks payable to Golden Valley Human Services Fund

MORE INFORMATION

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