Earth Day 5K

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Status Choose one Active Duty Retiree Dependent GS-Employee NAF-Employee Contractor Other     Squadron Choose one 325 FSS 325 LRS 325 MDG Other     Category Choose one Female 19 & Under Female 20-29 Female 30-39 Female 40-49 Female 50-59 Female 60-69 Female 70 & Over Male 19 & Under Male 20-29 Male 30-39 Male 40-49 Male 50-59 Male 60-69 Male 70 & Over   Wave Choose one 1 2 3 4 5

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver In consideration of my registration accepted, I accept any risks of participation in this event and agree to hold harmless the Tyndall Sports & Fitness Center. I, the participant, hereby waive or release any and all right and claims. I certify that I am physically fit for the completion of the event. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event. By submitting this entry, I acknowledge(or a parent or guardian for all children under 18 years) having read and agreed to the above waiver. I accept the terms of the waiver Name of parent or guardian who approves this activity Please enter your name here