5th ANNUAL
MEMORIAL 5K RUN/WALK
Franklinville, NJ
SATURDAY, SEPTEMBER 6, 2008
9:00 A.M.
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Name __________________________________________________
Street __________________________________________________
City ___________________________ State ________ Zip ________
Age _____ Sex ___
Method of Payment Cash ___ Check ___
Release
I acknowledge that I am aware of the risks involved in participating
in a road race. I hereby waive the
township of Franklin, the township of Franklin P.D. and L & M Computer
Services from any liability
arising from the active participation of this event. The undersigned has read
and voluntarily signed<
this release and waiver.
Signature _____________________________________ Date __________________
Please mail this form with a check to:
Lee Gonzalez Memorial 5K Run
PO Box 911
Malaga, NJ 08328