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RELEASE FORM MANDATORY – All forms MUST be AGREED to enter the event. No entry will be accepted without payment. NO REFUNDS. In consideration of accepting this entry, I the undersigned, intending to be legally bound hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for losses and damages I may have against the director and volunteers of the Moon Valley Grasshopper Bridge 5K, Phoenix Children’s Hospital or Foundation, Team Jaydie, FPWR, Arizona Road Racers, Raceplace Events, USATF, the City of Phoenix, and any and all sponsors and other parties and their representative successors and assigns for any and all injuries suffered by me or my person or property, real or personal, whether known or unknown, foreseen or unforeseen in said event.  I attest and verify that I am physically fit and have sufficiently trained for competition in this athletic event and competition which I am voluntarily entering at my own risk.  My physical condition has been verified by a licensed medical doctor.  Participation hereby implies waiver acceptance. Further, I hereby grant full permission to any and all foregoing to use photographs, videotapes, motion pictures, recordings or any other record of me or this event for any purpose whatsoever.    $25 check return fee; $15 relay baton replacement fee. 

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T-shirt design by Moon Valley artist Frank Ybarra
                  (www.ybarraart.com)           

     An entry into the Moon Valley Grasshopper Bridge 5K is an outstanding contribution in terms of financial support and by setting an example through physical activity. Contributions beyond the entry fees are permitted and encouraged.  
     All proceeds from the Moon Valley Grasshopper Bridge 5K benefit Phoenix Children's Hospital, Jaydie Lynn King Foundation and Foundation for Prader-Willi Research.                                                      Thank you!

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The Moon Valley Grasshopper Bridge 5K is the USATF Arizona 5K State Championship for 2015! In order to be eligible for USATF Arizona 5K State Championship awards, you MUST be registered with USATF.
Championship awards include Championship Medals and $1200 in Prize Money. Follow the link to register for USATF in the confirmation email.

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