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I know that running or walking a road race is a potentially hazardous activity and I hereby, for myself, my heirs, executors, administrators, and assigns do hereby release the organizers, sponsors, all race personnel of the Haslup Hustle 10K, 5K, and 1 mile family fun run and the Dave Haslup/Lou Gehrig Athletic Scholarship Foundation, and MidShore Community Foundation from responsibility for any damages suffered by me, as a result of my participation in the above event. I realize that this is a strenuous event, which required proper physical conditioning. I hereby certify that I am in such physical condition and good health to participate in this event on October 5, 2014. I also give my permission for the free use of my name and picture in any written account, broadcast or telecast of the event for any legitimate purpose. The race will go on rain or shine and no refunds or transfers are allowed.

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Please check the box below to show you understand your entry is non-refundable and non-transferable.

Will you be particpating in the 'recycled costume' competition?

Yes

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The Dave Haslup/Lou Gehrig Athletic Scholarship Foundation is a administered by the Mid-Shore Community Foundation. a public 501(c)(3) public charity. Gifts to the Fund are fully tax-deductible as allowable by law. A copy of MSCF’s financial statement is available at www.mscf.org or by calling 410-820-8175. Information about MSCF submitted under the Maryland Charitable Solicitations Act can be obtained from the office of the Secretary of State, State House, Annapolis, MD 2l40l.

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