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ST. PADDY'S 5K
HOWELL PAL

ENTRY ST. PADDY'S 5K 3/10/01

HOWELL PAL
1ST ANNUAL ST. PADDYS 5K RUN

SATURDAY MARCH 10TH MANASQUAN RESERVOIR, WINDELER RD., HOWELL.

10AM FUN RUN ALL AGES (FREE) AWARDS FOR
ALL FINISHERS
10:30 AM 5K RUN

ENTRY 5K $15.00 T-SHIRT WITH ENTRY
RECEIVED BY 2/24/01

_______________________/__________________________________
LAST NAME FIRST

___________________________/_____________/__________________
STREET ADDRESS DOB AGE

___________________/__________/_________/__________________
CITY STATE ZIP PHONE#

RELEASE:IN CONSIDERATION OF THIS ENTRY BEING ACCEPTED. I HEREBY FOR MYSELF,HEIRS,EXECUTORS,AND ADMINISTRATORS,WAIVE AND RELEASE ANY CLAIM I
MAY HAVE AGAINST, HOWELL PAL, MONMOUTH COUNTY PARKS,
IT'S OFFICERS AND DIRECTORS,THE ORGANIZING COMMITTEE,
THE SPONSERING ORGANIZATIONS,THE COUNTY OF MONMOUTH,
HOWELL TOWNSHIP,REPRESENTATIVES OR ASSIGNEES FOR ANY
INJURY THAT MAY BE SUFFERED BY ME AT OR IN THIS EVENT.

__________________________________/_________________________ SIGNATURE DATE

__________________________________
PARENTS SIGNATURE (IF UNDER 18)

MAKE CHECKS PAYABLE TO( HOWELL PAL) *ENTRY DUE 2/24/01
HOWELL PAL, P.O. BOX 713, HOWELL,N.J. 07731

HOWELL PAL CAN BE CONTACTED AT howellpaltrack@hotmail.com