Pink UP the PACE - COURSE Sign up Sheet by AdamThomson


									                                     Pink UP the PACE - COURSE
                                                                    This Course is Flat 3.1 mile through beautiful historic St. Augustine.
                                                                   The race starts near the parking garage and travels first along the
                                                                      bay front and then through historic neighborhoods, around
                                                                        Flagler College, and down St. George Street to the finish.
                                                                                     All turns and miles will be marked.

                                                           Sign up Sheet

                                                                                                                           Choose Shirt Size
                                                                                                                                    (Circle One)

                                     Are You a Breast Cancer Survivor? Yes___ No___                                             S M L XL
Make check Payable to: ACRR-Pink up the Pace and mail to 125 Kings Quarry Lane, St. Augustine Fl, 32080.
In consideration of the acceptance of my application in the Pink up the Pace 5k walk/run, I do hereby release and discharge ACRR, the St.
Augustine/St. Johns County Recreation Department, the City of St. Augustine, Florida, the County of St. Johns, the State of Florida Department of
Transportation and their agents, and all race sponsors, servants, or employees from any and all liability for their own negligence, for damages or
injuries that I might receive during my participation, whether due to acts of third persons or otherwise. I assume all risks associated with walking and
running in this event, including but not limited to: falls, contacts with other participants, the effects of weather, including high heat and/or humidity,
traffic and the conditions of the road. I also understand that in the event that this race has to be cancelled for any reason beyond the control of race
management that my entry fee will not be refunded. By my signature, I attest that I am physically fit and well trained to participate in the Pink up the
Pace 5k walk/run on September 26, 2009.

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     Please sign HERE (Parent MUST sign if participant is under 18 years of age)                                           Date Signed

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