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Califon Recreation Committee
Califon Bridge-to-Bridge
5K Fun Run
Entry
Form
Name
Address
City, State and Zip Code
Phone
E-mail
Required information for awards/prizes
Gender (circle one) Male
Female
Date of birth ______________ Age (on race day)___________ Grade (fall 04)_____________
T-shirt size (circle one) CHILDREN'S SIZES S M
L
ADULT SIZES S M
L XL |
Registration Fee (make checks payable to CAMPA "B to B Run"
on the check memo line)
$15.00 by September 20, 2004
$18.00 after September 20 or on day of race
Mail completed entry form and
check to:
Bridge to Bridge Run, 5 Raritan Drive, Califon, NJ 07830
For more information, please call: 832-2235 or 832-6474
Waiver:
I
know that running a road race is a potentially hazardous activity. I should not
enter and run unless I am medically able and properly trained. I agree to abide
by any decision of a race official relative to my ability to safely complete the race.
I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants,
the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road or any running surface,
all such risks being known and appreciated by me. Having read this waiver and
knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf,
waive and release the BRIDGE TO BRIDGE FUN RUN, the BOROUGH OF CALIFON, and all sponsors, their representatives
and successors from all claims or liabilities of any kind arising out of my participation in this event though that liability
may arise out of negligence or carelessness on the part of the persons named in this waiver.
I
grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this
event for any legitimate purpose.
Participant signature_________________________________________Date________________
(Parent or guardian
must sign if participant is under 18 years of age)
Parent/guardian signature ____________________________________Date________________