Name:
Address:
Address:
City:
State:
Phone:
E-mail:
Zip:
In consideration of the foregoing, I, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for any claims damages I may have against any of the sponsors, volunteers, organizers, City of Morristown, Morristown Jr Sr High School, Kopper Kettle, and Energy2Action, LLC, for any and all claims of damages, demands or loss actions whatsoever which may arise as a result of my participation in this event.  I understand and acknowledge that participating in this run/walk  event may expose me to dangers from both known and anticipated risks.  I understand that the course is not closed to traffic and that I could be at risk from traffic, other runners and cyclists, bad weather, ice and rough terrain along the course.  I acknowledge that some or all sections of this run  course may be off road or on rough road and may contain areas where I will  be at risk of tripping and falling.  I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical doctor.  I understand that this event may be canceled or delayed for any legitimate purpose or reason and that my entry fee will not be refunded under those circumstances or for any other reason.   Further, I grant full permission to any and all of the foregoing to use my likeness for any legitimate purpose whatsoever.
Date of Birth:
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 P.O.G.  
5 Mile Run/Walk
July 29, 2017
8:15 A.M. 

Start/Finish
Morristown Jr. Sr. High School
215 W. Main Street 
US Highway 52
Morristown, IN  46161
Pre-registration ends on 7/24/17

Entry Fees
$25.00 5 Mile Run/Walk Pre-registered/with short sleeve t-shirt
$20.00 5 Mile Run/Walk Pre-registered/with no t-shirt

Race Day Registration
$25.00 5 Mile Run/Walk with shirt
(shirts not guaranteed to Race Day sign ups)
Race Day Registration begins at 6:30 a.m.
T-Shirt:
Want a MAIL IN REGISTRATION instead?
Click Here
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