<p>Dassel Red Rooster Days Run Registration Form</p><p>Mail entry form with fee payable to: DASSEL RED ROOSTER RUN</p><p>Please mail entry forms to the address below. Forms must be postmarked by August 1, 2015 to receive early bird discount and guaranteed t-shirt.</p><p>PRINT NAME ______MALE ( ) FEMALE ( ) AGE ( ) </p><p>MAILING ADDRESS: ______</p><p>CITY: ______STATE: ______ZIP: ______</p><p>PHONE #:______EMERGENCY CONTACT NAME & #:______</p><p>EMAIL ADDRESS: ______</p><p>AMOUNT ENCLOSED: $______</p><p>CIRCLE T-SHIRT SIZE: YS YM YL S M L XL XXL</p><p>Mail to: CHECK EVENT PARTCIPATING IN:</p><p>Red Rooster ( ) Youth Fun Run</p><p>P.O. Box 208 ( ) 5 Mile Run Dassel, MN 55325 </p><p>( ) 1 Mile Run/Walk </p><p>PLEASE READ and SIGN: I enter this race at my own risk and hereby waive all claims that I or my heirs have against all sponsors, race directors, and all associated with this race for any injuries or problems I may sustain, regardless of negligence. I am totally responsible for my safety and any injury I may suffer. </p><p>SIGNATURE ______DATE ______</p><p>PARENT SIGNATURE (If under age 18) ______DATE ______</p>
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