2019 Strides 4 Kids 5K Registration
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Name (First and Last) *
Email *
T-Shirt Size *
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If you are a SLU Grad Student, which program?
How did you hear about Strides 4 Kids?
Waiver, Release, and Indemnification of Liability: In consideration of this entry, I the undersigned, intending to be legally bound, hereby for myself, my heirs, my executors and administrators, waive and release any and all rights and claims or damages I may have against Strides 4 Kids and their affiliates, subsidiaries, officials and their representatives, successors, volunteers and assigns for any and all injuries suffered by me in said event. I attest and verify that I am physically capable of completing the run/walk. I hereby consent to receiving medical treatment, which may be deemed advisable in the event of injury, accident, or illness during the event. Further, I hereby grant full permission for the free use of my name and/or photograph or any other record of this event for any legitimate purpose. Please enter full name for verification: *
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