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Roo Run/Walk 5K Registration Form

Roo Run/Walk 5K
Sponsored by the SUNY Canton President's Office

SUNY Canton Campus

Thursday, May 9, 2013
4:00 pm

Course: Combination of grass/wooded trails throughout campus
Race Time: Runners and walkers begin at 4:00 p.m.
Pre-Registration: Not required, but encouraged
Registration Location: Edson A. Martin Athletic Fields Entrance (across from Dana Hall)
Fee: NONE

Runner Information

Please enter your first name. Please enter your last name. Please enter an age. Please enter a number.

Please enter an address. Please enter a city. Please enter a state. Please enter a zip code. Please enter 5 digits. Please enter a number. Please use XXXXXXXXXX. Please enter an email. Invalid email. Please enter an email. The emails don't match.




Free T-shirt to the first 25 registrants (please check below for correct size)

S

M

L

XL

XXL

Do not want shirt


Waiver

In consideration of my accepting this entry form, I hereby for myself, my heirs, executors and administrators waive and release all rights and claims for damages I may have against SUNY Canton and all other sponsors of this event, their agents, representatives, successors and assigns for any and all injuries suffered by me at said run/walk, or which may arise out of traveling to, participating in or returning from this event. By agreeing below, I acknowledge that I am aware of and understand the inherent risks involved in this activity and take full responsibility for those risks.

Do you agree?

Yes

No

For more information contact: Farren Davis at 315-386-7958, CC 235, 34 Cornell Drive, SUNY Canton, Canton, NY 13617 or davisf@canton.edu