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Christopher J. Morrissey Christopher J. Morrissey
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ONLINE SUBMISSION FORM

PERSONAL INFORMATION

Name:

Age:

Sex:

Address:

City:

State:

Zip:

Phone:

Email address:

Adult Shirt Size:

I know that running and volunteering to work in Foundation races are potentially hazardous activities. I should not enter and run in Foundation activities unless I am medically able and properly trained I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running and volunteering to work a race including, but not limited to falls, contact with othe participants, the effects of weather, including high heat or humidity, the conditions of the road and traffic on the road, all such risk being known and appreciated by me. Having read this waiver and knowing these acts, and in consideration of your acceptance of my application for membership of myself and anyone entitled to act on my behalf, waiver and release the CHRISTOPHER J. MORRISSEY FOUNDATION, INC. and all their sponsors, their representatives, successors from all claims of liabilities of any kind arising out of my participation in these club activities even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs or recordings of this event for any innate purpose.

Signature: ____________________________________________________________________ Date: _____________________

Parent Signature (if under 18): _______________________________________________ Date: _____________________

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Please park Behind Trinity Bible Church - Entrance to Reservoir
3801 Allenwood-Lakewood Road, Allenwood, NJ 08720


 

Non-Profit 501(c)(3)
The Foundation is a federal and NJ State tax-exempt, registered non-profit.
Our status can be verified at:
http://www.irs.gov/Charities-&-Non-Profits/Exempt-Organizations-Select-Check

 

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