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KALAMA RIVER RUN
REGISTRATION FORM
NAME________________________________
AGE_____SEX_____BIRTHDATE_________
ADDRESS_____________________________
CITY/STATE/ZIP_______________________
PHONE_______________________________
____________________________________________
PRE-REGISTRATION ENTRY - $10.00
PRE-REGISTRATION W / T-SHIRT - $20.00
ENTRY AT RACE - $12.00
ENTRY AT RACE W/ T-SHIRT - $22.00
CVR MEMBERS $2.00 OFF
CHILDREN 12 AND UNDER $5.00
T-SHIRT ALL ADULT SIZES
CIRCLE T-SHIRT SIZE M L XL
ASSUMING ACCEPTANCE OF THIS ENTRY – I, FOR MYSELF, MY HEIRS AND EXECUTORS, HEREBY RELEASE THE KALAMA RIVER RUN COMMITTEE, KALAMA FAIRGROUNDS OPERATORS, KALAMA COMMUNITY FAIR, AND ITS BOARD MEMBERS, COWLITZ VALLEY RUNNERS AND ALL EVENTS SPONSORS FROM ANY AND ALL LIABILITIES ARISING FROM ANY ILLNESS, INJURY OR DAMAGE I INCUR AS A RESULT OF ANY PARTICIPATION IN THIS EVENT.
_____________________________________________
SIGNATURE - PARENT OR GUARDIAN MUST SIGN IF ENTRANT IS UNDER 18 YEARS OF AGE.
DATE__________________________________________
Completed registration forms should be returned to:
Kalama Community Fair
PO Box 546, Kalama, WA 98625.
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