MAIL-INS MUST BE RECEIVED BY AUGUST 25, 2008.
Name: Address: City: State: Zip: Club: Home Phone: Date of Birth: Age on race date: Event: 5 Mile 10 Mile
Gender: M F Shirt size: M L XL
Entry fee: $16(received by August 25, 2008) $10(over 70 years old) $18(race day registration; bring this form on race day) All registered entrants will receive a pass to the fair.
ALL ENTRANTS MUST SIGN RELEASE STATEMENT
Waiver: In consideration of the acceptance of my entry, I do hereby, for myself, my heirs, executors and administrators waive, release, and forever discharge any and all rights and claims for damages which I may have against any sponsor or official of the 34th ANNUAL AMIGO de ORO RACE at the Mariposa County Fair (35-A District Agricultural Association) held Aug. 31, 2008. I am physically fit and have trained for the race.
__________________________ _____________ ________________________________ Signature Date Parent's Signature if under 18
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