New Holland Race Registration
User Manual: New-Holland-Race-Registration
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From Rte 897 (Springville Rd): Sandmine Rd is directly off Rte 897; the Welsh Mt Park is at top of hill, about ½ mile off Rte 897. From Rte 23: Take Ranck Rd at intersection with Rte 23 (Turner Buick at corner). Stay on Ranck Rd approximately 2 miles; make right onto Sandmine Rd near top of hill. Signs will be staged! NAME: _________________________________________ Gender: Male _____ Female _____ Address: __________________________________________________________________________ Phone: ________________________________ Age on race date: _____ DOB ______________ E-mail: ___________________________________________________________________________ T-shirt size: _____ Small _____ Medium _____ Large _____ X-large Waiver: I acknowledge that running or walking in a 5k or 10k race can be potentially hazardous. On behalf of myself, my heirs, executors, administrators and assigns, I hereby waive and release all rights and claims for damages which I may have against you or your assigns for any and all injuries or illnesses which I may suffer as a result of taking part in this event. I am in proper physical shape for this event. Signature: ________________________________________ Date: _________ Mail completed registration form and fee to : Referred to by a scout? List their name here: Check One: ___________ 5k Event ($15) Parent or Guardian if under age 18: _______________________________ Troop 48 Run 20 South Roberts Ave New Holland, PA 17557 ___________________________________________________ ___________ 10k Event ($20)
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