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Sunday, October 21, 2007 -- Morgantown, WV / Mountaineer Mall, White Park
Red Ribbon 5K-MAGP Sprint #9 (iPO Event Id#: 10014)

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Mail entry form and fee to:
C/O Gerry Schmidt, Valley HealthCare System
301 Scott Avenue, Morgantown, WV 26508-8804


NAME___________________________________________ GENDER________

ADDRESS_______________________________________________________

CITY_______________________________________STATE____ZIP_______

PHONE_________________________________________________________

AGE as of 10/21/07___________  DATE OF BIRTH _________________

ADULT T-SHIRT SIZE:  S  M  L  XL  XXL     CLASS: WALK__  RUN__

# of kids participating in Kids Activities: #____  Age(s)_____
In consideration of this entry, I waive for myself, my heirs, and assigns, all claims for damage which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. I therefore attest that I am physically fit and have sufficiently trained for this event. I also release any photos that may involve myself.

__________________________________________________________
SIGNATURE                                     (DATE)

__________________________________________________________
PARENT OR GUARDIANS SIGNATURE IF UNDER 18 YRS OLD
(Parent's or Guardian's signature required if contestant is under 18 years of age)