Run To The Hills 5K / 10k / 1mi

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Team name   First name   Last name   Email address   Date of birth    MM 01 02 03 04 05 06 07 08 09 10 11 12    DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    YYYY 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920    Gender -- Male Female   Phone #   Address   Distance Choose one 1 Mile 5K 10K   Category Choose one 10-14 15-19 20-29 30-39 40-49 50-59 60-69 70-79 80 & Older 9 & Under Choose one 10 -14 15-19 20-29 30-39 40-49 50-59 60-69 70-79 80 & Older 9 & Under Choose one 10 -14 15-19 20-29 30-39 40-49 50-59 60-69 70-79 80 & Older 9 & Under   Event entry fee TBD

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver I am entering this event with full knowledge that I could easily be hurt or face life-threatening injuries. I state that I have trained and am in proper physical condition and there is no medical reason that I should not participate in this event. I fully assume all risks of injury, illness or death, and release covenant not to sue, and discharge the Troop 8, all volunteers, the Town of Kingston, all actions, claims or demands for damages arising out of my participation in this event. The forgoing release is binding upon me personally, as well upon my heirs, executors, and administrators, and all members of my family, or anyone else who might make claim on my behalf. Furthermore, I hereby grant full permission to use my name and photograph, videotapes, or other record of this event for the Troop 8’s and the Run To the Hills’ promotional purposes I accept the terms of the waiver Name of parent or guardian who approves this activity