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You must pay and you must complete the following form to be registered.

 

                                   

        Name:                DOB: Age:

 

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Waiver: I, the undersigned, assume full and complete responsibility for any injuries suffered while traveling to and from the starting point and ending point of the Megan’s Lighthouse Fun Run and Walk while participating in the said event. I certify that I have no physical, mental, or any other ailments or conditions that would prevent me from participating in this competition. I waive and release the Megan’s Lighthouse, Zapata Roadrunners, and County of Jim Hogg, representatives of said organizations, race officials and paid and unpaid race workers, and the organizations that represent from any criminal and civil liabilities and /or lawsuits, damages and attorneys’ fees. .

Runner’s Signature/Firma de participante: or Parent/Guardian if runner is under 18: