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In consideration for allowing me (my child) to compete in the 5K/1 mile race, I, the undersigned intending to be legally bound, waive and release for my child, myself, my heirs, executors and administrators, and  all rights and claims for property damage and person injury, including death, which I (my child, representatives, successors and assignees, arising from  my (my child) participating in this event.  

 

I verify I have full knowledge of the rigors of this race and the risk involved in participation , and I am (child is) physically fit and have (has) sufficiently trained to complete in this event. I (on behalf of my child) hereby grant permission to Knights of Columbus, SHC, or Special Olympics Medina County and any city or village, sponsor, officer, and member of said organization, their representatives, successors, assigns to use all information submitted in my application and my photograph, video tape, motion picture, recoerding and any other record of this event, including pre-race and post-race publicity. 

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Tshirts are only guaranteed to those registered by Saturday, September 21st, 2019. 

Proceeds will benefit Society for Handicapped Citizens, The Arc of Medina County, Special Olympics Medina County, and Knights of Columbus.  

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{{ 'PROCESSING_FEE' | translate }} : {{cart.lotteryFee | currency:"$":currency.decimal}}
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{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

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