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Saturday, January 5, 2008 -- Fairmont, WV / MCPARC Trail and Caperton Trail, Prickett's Fort State Park
Run to Read Half-Marathon-MAGP Endurance #10 (iPO Event Id#: 10007) --- Return to the Details Page

Entry Fees $20 by 1/1/08, $25 after 1/1/08
Please make all checks payable to: Literacy Volunteers of Marion County

Mail check and pre-registration form to: LV of Marion County, 601 Locust Ave., Fairmont WV 26554

NAME ______________________________________________________________

ADDRESS____________________________________________________________

CITY_______________________________________________________________

STATE, ZIP ________________________________________________________

PHONE _____________________________________________

AGE ____(on 1/5/08) BIRTHDATE _____________________

MALE_____________FEMALE_________

EMAIL (OPTIONAL)___________________________________________________

WAIVER: I waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. I also release any photos that may involve myself.

_________________________________________________________________
SIGNATURE

(A Parent MUST sign if racer is under 18 yrs old)