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Date: Saturday, August 10, 2019
Location: Walking trail located behind Arlington Medical Clinic, KY-80, Arlington KY, 42021
Time: Walk/5K begins at 6:00 P.M.
Registration Fee: $10.00 for children under 18
$15.00 for individuals +18

Adult registration includes entry fee and t-shirt. Child's registration includes entry fee, t-shirt, and trophy. Guarantee
your shirt size with early registration & payment!

Registration fees may be dropped off at Arlington City Hall, 37 KY-80, Arlington,
KY 42021, or mailed to P.O. Box 399 Arlington, KY 42021.

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* 1. Name: 

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* 2. Age:

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* 3. Address:

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* 4. Shirt Size:

Release and waiver (Please Read and sign) I know that running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that, although
police protection might be provided, there could be traffic on the course route; therefore , I assume the risk of running in traffic. I also assume any other risks associated with running this event
including, but not limited to, falls, contact with other participants, and the effects of weather and conditions of the road. I understand I am solely responsible for my own safety while traveling to and from
or participating in this event. Knowing these facts and inconsideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might sue on my
behalf covenant not to sue, and waive, release, and discharge the sponsors or contributors to this event, any race officials, volunteers, the city and other involved agencies, their representatives
successors or assignees from any and all claims of liability for death, personal injury, or property damage of any kind of nature whatsoever arising out of, or in the course of my participation. The
release form and waiver extends to all claims of every kind of nature whatsoever, foreseen and unforseen, known and unknown. The undersigned further grants full permission to use any photographs, video tapes, motion pictures, recordings, or another record of the event for any purpose. Minors will be accepted with a parent’s signature.

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* 5. By initialing here you are agreeing to the above waiver:

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* 6. Parent/Guardian Waiver; by initialing here you are agreeing to the above waiver:

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