5k - "Giving Back To Build The Future"

5k Walk/Run

Big thanks to everyone who came out, participated in or volunteered at the 2013 WOSAF & Fillies' 5k! We had a great turn out!!

Registration/Waiver Form

FEE - $20 per adult (ages 13 & up) before August 28th : $25 after August 29th : $15 per child (ages 12 & under)

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Adult Shirt Size - Select One *

Youth Shirt Size - Select One *

In consideration of acceptance of this entry, I waive and release any and all claims for myself and my heirs against West Orange-Cove Consolidated Independent School District, the Citry of West Orange, the West Orange-Stark Alumni Foundation, WOS Fillies Drill Team, and Fillies Drill Team Booster Club, and all sponsors, directors, volunteers, officials, participants or agents or this event for any injury, damage or illness which may directly or indirectly result from my participation in the WOSAF & Fillies’ 5K event. My claims remain waived even though liability may arise out of negligence or carelessness on the part of persons mentioned above or other entities. I further state that I am in proper physical condition to participate in this event. I hereby grant full permission for my likeness or name to be used for any publicity, and/or promotional purposes without obligation or liability to me. In cases of inclement weather, natural disaster, or other unforeseen extraordinary circumstances, the WOSAF & Fillies’ 5K event committee reserves the right to cancel the event and/or modify the event for safety concerns. Under such circumstances, there will be absolutely no refunds or transfer of entries to future WOSAF and/or Fillies’ events. Each participant must accept any such risk of their entry fee paid. We pledge to make every effort to produce a fair, safe and exciting event for all. Any decision we make to go forth with the race is based on the overall event safety. The WOSAF & Fillies’ event committee reserves the right to reject or accept a race entry for any reason.

I agree to the above waiver and disclaimer. (You must accept to participate in the 5K event.)

Choose One - I agree to the above waivers and disclaimers. *

YES NO

Submit

Feel free to print out and send in your form with payment if you choose too.

wosaf_-_fillies_5k_waiver_registration_form.pdf
File Size:	189 kb
File Type:	pdf

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Your Registration will NOT be processed until paymet has been submitted.

A small 3% charge will be assesed for online processing.

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