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In consideration of accepting this entry, I, the undersigned, intending to be legally bound for myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against the YMCA of MIddletown, Super Race Systems, and all sponsors, race volunteers, their representative, successors and assigns for any and all injuries suffered by me in said events. I attest and verify that I am physically fit and have sufficiently trained for the competition of this race. I understand that failure to fill out this form correctly and in its entirety will disqualify me to place for an award.

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T-Shirts to first 500 5K Run/Walk entries.

Youth T-shirts are one size to first 100 Kids Dash participants.

This event raises money each year for the children of our community. The funds raised benefit the Middletown School District Ruthie Dino-Marshall Memorial Fund and the YMCA of Middletown summer camp scholarship fund. Thank you for helping to celebrate an amazing life.

Are you a participating member of the Middletown Triple Challenge?

The MIddletown Triple Challenge consists of 3 events: Classic 10K/5K, Ruthie Dino 5K, and ORMC R4DT - Registration for Middletown Triple challenge is free !

Yes

No

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