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In consideration for your acceptance of this entry, I the below signed, intending to be legally bound for myself,
my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may
have against the Jackie Bristow Memorial 5K Run/Walk, Jackie Bristow Memorial Foundation, the city of San
Dimas, Infinity Timing, Race Central or any other groups or individuals associated with the Jackie Bristow Memorial 5K for any and all injuries suffered by me in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I also hereby grant full permission to any and all of the foregoing to use my likeness in all media including pictures, photographs, or any other record of this event for any legitimate purpose.

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Eating disorders affect millions of people in the United States.  Your donation will help bring awareness to teachers, coaches, parents, and students.  In addition, your donation will help spread positive body image education to, particularly, high school aged youth.

If you would like to donate more than $50, please visit our website:  www.jackiememorial.org/donations

This is not valid integer. Value needs to be between '0' and '10' Value needs to be between '0' and '10'

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