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Viola Valley Half Marathon
Viola Valley Half Marathon Registration
Birthdate Age Day of Race - 5/19/17 Sex: M F
T-shirt size (circle one) S M L XL
Daytime Phone Number _________________________ Cell Phone Number_____________________________
Emergency Contact Name and Number_______________________________________________________________
The undersigned acknowledges that the Viola Valley Half Marathon race is voluntary and that I am voluntarily participating. I hereby release the Viola Valley Half Marathon, its officers, volunteers, race officials, sponsors and all parties from any claims, demands or causes of action of every nature which arise out of or are connected with the Viola Valley Half Marathon race and/or events.
The undersigned agrees that the above-mentioned parties shall be held harmless in the event of an accident causing damages or loss of property or injury to the undersigned. I have read the foregoing release, understand its terms, and voluntarily sign the same.
Registration fees: $40.00 thru April 20, 2017
Please mail registration for to: Viola Valley Half Marathon
2395 Mt. Zion Road
McMinnville TN 37110
We ask that you not mail any forms after May 10, 2017. This will help us to have all our registration bags completed by the day of race
Signature of parent/Guardian if runner is under 18__________________________