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Waiver and Release: In consideration of my being permitted to participate in "The Cedar Dog Jog " on June 10, 2017, the sufficiency of which I acknowledge, I, the undersigned, intending to be legally bound hereby for myself, my heirs, assigns, executors and administrators, do hereby waive and release any and all rights, claims, demands, or causes of action of any nature I may have against PAWS Humane Society, City of Charles City, and/or their directors, employees, agents, officials, volunteers, sponsors or any other representatives for any and all injuries or other damages of any kind that may be suffered by me or my dog in this event, from the date of this event forward. I hereby certify that my dog and I are physically fit and have sufficiently trained for the competition of this event. I acknowledge that any injuries sustained by me or my dog during the course of this event may be caused by or arise out of risks inherent to a cross country race, of which I have full  knowledge and which I assume. I will be responsible for the conduct  of my pet, for cleaning up after my pet and for keeping my pet leashed at all times. I agree to indemnify and hold all sponsors of this event harmless against any and all claims, demands, or causes of action of any kind for any accident, injury or damage whatsoever caused to any person or property by me or my dog arising, directly or indirectly, prior to, during, or after the course of this event. I will additionally permit the free use of our names, pictures or likeness in broadcasts, or promotional materials. I understand the terms of this Waiver and Release and by my signature below affirm that I am signing this waiver and release freely and voluntarily.

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T-shirts are 50/50 cotton/poly blend

Please let us know if you do not want a t-shirt. You will get $10 off of your registration

I understand that I will need to have proof the day of the race or fax the organizers proof beforehand to 641-228-4909

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If you are not from Charles City or not required to register your dog, please indicate 0 or None.
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This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
This is not valid integer. Value needs to be between '1' and '10' Value needs to be between '1' and '10'
Please list the names of each additional family member, the distance they are participating in (the 5k or 1 mile) as well as two t-shirt sizes.
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