NPRSA 5K Costume Caper Entry Form

Asterisks * indicate required fields.

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Mailing Address:

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This field is required. Please enter a valid e-mail address.

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Select the category you are participating in:

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ENTRY FEE: 2 CANNED FOOD ITEMS

In consideration of your acceptance of this race entry, I for myself, my heirs, executors, administrators and assigns forever release and discharge any and all rights, demands and claims, for damages and causes of suit or action known or unknown, that I may have against North Peninsula Recreation Service Area, the Kenai Peninsula Borough, the directors, officers, employees and agents of such parties for any and all injuries in any manner resulting from my participation in said race. I attest and verify that I have full knowledge of the risks involved in the race, that I assume those risks, that I will assume and pay my own medical and emergency expenses in the event of accident, illness, or other incapacity, regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this race.

I have read and I understand the above conditions:

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(If participant is under 18 years of age)

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