CHECK APPROPRIATE:_____ 5K RUN/WALK_____ 1 MILE FUN RUN _____ BOTH
INDICATE NUMBER OF RUNNERS:____ 18 AND UP($20)____Under 18 ($15)____ Under 5 (Free)$______Total Enclosed
Make checks payable to: RHS Softball Booster Club
Release:I realize the event is physically strenuous, and there may be adverse weather conditions, as well as vehicles on the course.Nevertheless, I wish to compete and assume all risk of injury.I hereby, for myself, and anyone entitled to act on my behalf, release and discharge Richland High School and the Softball Booster Club from any and all claims of injury or liabilities of any kind, illness or damage suffered by me, as a result of my participation in or traveling to this event.I realize the entry fee is non-refundable.I have read and understand my responsibility. I am making this agreement and paying my entry fee in exchange for the privilege of running this race and using the facilities provided by the race.
Signature (parent or guardian if under 18) ________________________________________Date:__________________
(Additional family members sign for release on the back of this form and include shirt size and age.)
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