Official 2018 Reg Form (PDF)

File information

Title: Official 2018 Reg Form
Author: Kristy Seeley

This PDF 1.6 document has been generated by Word / Mac OS X 10.13.4 Quartz PDFContext, and has been sent on on 09/04/2018 at 19:31, from IP address 68.57.x.x. The current document download page has been viewed 164 times.
File size: 24.85 KB (1 page).
Privacy: public file

Document preview - Official 2018 Reg Form.pdf - Page 1/1

File preview

Officer Tom Jr. 373 Run
5k-run/1 mile walk in memory of Officer Tom Cottrell Jr.

Sunday May 6, 2018

1:00 PM

Danville High School Gym

Pre-Registration (guaranteed a shirt) $20 adult, $10 student (Ends April 27th)
Day of Event (limited number of shirts) $25 adult, $10 student
(Registration day of will be from 12-12:45 in the gymnasium)

Net Proceeds will benefit the Officer Tom W. Cottrell Jr. Charitable Fund
Checks are to be made payable to Community Foundation of Mt. Vernon and Knox County
Memo: Officer 373 Run
Pre-entries: Send to Ann Henry 9 Mermary Dr. Fredericktown, OH 43019
Donation only? Mail to Community Foundation of Mt. Vernon and Knox County, PO Box 309 Mount Vernon, OH 43050

Email__________________________________________Tshirt Size__________5K_____1mile walk________
I know that running/walking a good race is a potentially hazardous activity. I should not enter unless I am properly trained, medically able, and take into account any pre-

exsisting medical conditions. I assume any and all risks associated with this event includeing but not limited to: falls, contact with other participants, traffic, the effects of
the weather, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of

your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release Danville Local Schools, the Village of Danville, and all other organizations
and persons connected with this event. They are not held liable or responsible for any injuries which I may suffer while taking part of this event, or as a result thereof. In

this connection, I hereby waive any claim for damages to my person or property. I grant full permission for organizers to use photographs, videotape or motion pictures
of me, and/or quotations from me in legitimate accounts and promotions of this event. No refunds are available. Event will be held rain or shine. I agree to the above

Participant Signature_____________________________________________________Date________________
Parent/Guardian Signature (if under 18)_________________________________________________________

Download Official 2018 Reg Form

Official 2018 Reg Form.pdf (PDF, 24.85 KB)

Download PDF

Share this file on social networks


Link to this page

Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)


Copy the following HTML code to share your document on a Website or Blog

QR Code to this page

QR Code link to PDF file Official 2018 Reg Form.pdf

This file has been shared publicly by a user of PDF Archive.
Document ID: 0000754711.
Report illicit content