11th Annual Captain Joe Callis Sr 5K Run/Walk & 1/2-Mile Fun Run
Registration Form (Please fill out an individual form for each participant). Form and payment must be received by May 19, 2024 to guarantee correct shirt size.
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Email *
Name (last, first) *
Address *
City/State/Zip Code *
Telephone Number *
Gender *
Age as of 6/16/24 *
Race *
Shirt Size *
Waiver of Liability
In consideration of this entry, I undersigned, intending to be legally bound hereby to myself, heirs, executors and administrators, waive and release any and all rights and claims for damages I may against the Monroe County Fraternal Order of Police, the city of Valmeyer Illinois, Monroe County and the representatives, successors, assignees, and all sponsors for any and all injuries suffered by me in this said event.  
Agree with above terms *
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