OAKLAKE TRAILS 5K FUN RUN REGISTRATION FORM Entry Fees: $15.00 through October 2, 2000. After October 2, $20.00. Make checks payable to Oaklake Trails. Current Oaklake Trails members may deduct $5.00. Name ____________________________ Address __________________________ City _____________________________ State ____________ Zip ____________ Day Phone ________________________ Evening Phone ______________________ Age on October 14, 2000 _____________ Check one: Check one: Gender: M __ F __ T-Shirt Size: M __ L __ XL __ If you will be bringing a spouse or significant other to participate as a volunteer, please print their name below: ___________________________________ WAIVER OF CLAIM (Must be signed and submitted with registration). In consideration of the acceptance of this entry, I the undersigned assume all risks and full and complete responsibility for any injury or accident which may occur during the Oaklake Trails 5K Fun Run or while I am on the premises of the event, and I hereby release and hold harmless the sponsors, promoters, and all other persons and entities associated with the event from any and all injury or damage and liability, whether it be caused by negligence of the sponsors, promoters, and other persons or entities associated with the event, or otherwise. I also authorize Oaklake Trails Naturist Park, Inc. personal permission to select the location for any medical treatment I might need in case of injury. Signature ____________________________________
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