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RUN FOR THE DEAF REGISTRATION FORM
I am participating in the Spring Fling Series Yes ___ No___
Name: _____________________________________________________
Address: __________________________________________________
City: _______________ State: ____ Zip:______ Phone: (____) _____ _________
In case of emergency contact:
Name: __________________________________________________
Phone: (____) _____ _________
Sex: M___ F___ Age as of 5/3/2008: ______
Date of Birth: Month ____ Day _____ Year _____
T-Shirt size, please circle one: Youth: M Adult: M L XL XXL
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Team Competition
___Open ___Competitive ___Women ___Schools ___Masters(+40)
Team Name:___________________________ Team Captain:___________________________
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Entry Fee: ________
No Shirt Option (-$5.00): ________
Additional Donation: ________
Total Amount Paid: ________
__________________________________________ ______
Signature Date
__________________________________________ ______
Parent's Signature (if under 18) Date
ATHLETE'S RELEASE: I know that running and volunteering to work in road races are potentially hazardous activities. I should not enter the Run for the Deaf unless I am medically able and properly trained. I understand that my entry fee is non-refundable and race numbers are non-transferable. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running and/or volunteering to work the aforementioned race, including but not limited to falls, contact with other participants, the effects of weather, including high heat or humidity, the conditions of the course and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and release and knowing these facts, and in consideration of your acceptance of my application, I for myself and anyone entitled to act on my behalf, waive and release the Parent, Teacher, Counselor Association of Tennessee School for the Deaf , the Tennessee School for the Deaf, the Knoxville Track Club, and all participating sponsors, their representatives, successors, from all claims of liability of any kind arising out of my participation in the aforementioned event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I also grant permission to all the foregoing to use any photograph, motion pictures, recording or any other recording of this event for any legitimate purpose.
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