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            Event:   Select One 10 yd Diaper Crawl 50 yd Princess Dash 400 yd Princess Dash Two Mile

One Mile Talk N Walk     We encourage ALL female entrants to participate

       Shirt Size: Select One Youth XS Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL Adult XXXL

WAIVER STATEMENT: Entry invalid if not signed. In consideration of the acceptance of this registration entry, I the undersigned assume full and complete responsibility for any injury or accident, which may occur during my participation in the event or while I am on the premises of the event. I hereby release and hold harmless Journey To The CORE Women�s Event, Sherryl Zoltenko, Superior Public Schools, the coordinators, the sponsors, promoters and all other persons and entities associated with the event or their agents or employees, or otherwise. I will not enter and participate unless medically and properly trained. I also know that although police protection will be provided, there may be traffic on the course route. I assume the risk associated with this event, including but not limited to falls, contact with participants, alcohol consumption, the effects of weather including high heat and/or humidity, and the conditions of the road, all such risks being known and appreciated by me. I further grant my permission to use any photographs, videotape, motion pictures, recordings, or any other record of this event. Fees are non-refundable. T-shirt size is not guaranteed. I have read the forgoing

          Waiver:   Select One Yes

       Signature: Must be signed by parent/guardian if participant is under 18.