OAKLAKE TRAILS 5K FUN RUN REGISTRATION FORM Entry Fees: $15.00 through August 26, 2002. After August 26, $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 ___________________________________________________________________ Date of Birth ____________________________________________________________________ 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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