REGISTRATION FORM
$15 before 5/15/09 and $20 after 5/15/09 and on race day
Mail Checks & registration form to Liberty Property Trust, Attn: Flor
Turcios
901 Lincoln Drive West, #100, Marlton, NJ 08053
NAME: ______________________________________________________________
ADDRESS: ___________________________________________________________
CITY: _______________________________ STATE: _______ ZIP
_____________
PHONE: _________________________________
MALE ____ FEMALE _____ AGE
_________
WALKER _______ RUNNER _________
I, _________________________________ in consideration of permitting me to
participate in Liberty Property Trust's 5K Run (called the "Run"),
and fully desiring to so participate, hereby agree to release Liberty Property
Trust, Libery Property Limited Partnership and, each of their successors assigns
members, afflicates, agents, offer, and employees (collectively called the "Sponsors")
and the members, affliiates, agents and officers of, andparticipants in the
Run (collectively called the "Run participants") from any and all
claims of any kind of nature, including damages for bodily injuries to me of
to others, either direct or consequential, which might arise from my participation
in any function sponsored by the "Sponsors" and/or "Run participants"
including, but not limited to, the 5K Run, or other sports activities. I understand
that any person undertaking exercise programs should act on the advice of their
physicians. I verify that I am physically fit and have sufficiently trained
for the competition of this event. I grant full permission to use my name, voice,
and/or picture in any account of this event.
Signature ________________________________________________ Date
________________
(Parent sign if under 18 years of age)