Snowflake Shuffle 5k Registration Form       December 5, 2015

WAIVER. I understand that running a road race is a potentially dangerous activity. I do hereby waive and release any and all claims for damages that I may incur as a result of my participation in this event against CSB, all sponsors, employees, volunteers, or officials of these organizations. I further certify that have full knowledge of the risks involved in this event and that I am physically fit and sufficiently trained to participate. If, however, as a result of my participation in race I require medical attention, I hereby give consent to authorize medical personnel to provide such medical care as deemed necessary.

I have read the foregoing and certify my agreement by my signature below

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

PRINT OUT THIS ENTRY FORM AND MAIL IT WITH $25 BY DEC. 2 TO

Make check payable to College of St. Benedict

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