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Romeo Lions Charities Michigan District 11-A2

Fun Run Registration offline

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5K Run & 1 Mile Fun Walk Registration

Please print, fill out, sign & mail with a $12.00 check to;
Fun Run c/o Peach Festival Races
70350 Henry Ross Drive
Romeo, MI 48065
 Make checks payable to; Peach Festival Races.
 
Name;____________________________________
 
Address;__________________________________
 
City;_____________________________________
 
State;________ Zip;_________________________
 
Phone;______________________ Age;__________
 
(  ) 5K  (  ) Fun Walk
 
In consideration of the acceptance of my application for the 2004 Peach Festival Run/Walk, I hereby release the Romeo Peach Festival, 
The Romeo Lions Club, Romeo Community Schools, The Macomb Daily
and The Advisor & Source Newspapers and All Volunteers, Agents,  Employees, Successors & Heirs, who are officially connected with this event from any claims, actions, losses, damages, expenses or bodily injury incurred by me or arising out of or in any way in conjunction with my participation in the aforementioned competition. I further state that I am in proper physical condition to compete in this event.                                           
                                                                                                     
                                                                                                     
                                                                                                    
                                 ______________________________________                              
     Your Signature, or  Guardians if under 18      

Thank you and have fun!