Fourth Annual Run of the
Mill—Ballard Mill, Malone
Saturday,
September 27, 2003 at 9:00 AM
To
benefit North Country Community College
Make
checks payable to NCCC Foundation, and mail to: Carol D’Avanzo, 229 Webster St., Malone, NY 12953
***************************
Entry
Form run____
walk____ T-shirt size S___ M____ L____ XL_____
Name
________________________________________Phone____________________
Address________________________________________________________________
________________________________________________________________________
Waiver: In
consideration of your accepting this entry, I waive and release all rights and
claims for damages I, my heirs and executors, may have against all Run of the
Mill event affiliated personnel and sponsors.
I verify that I am physically fit and have trained sufficiently for this
event.
Signed_________________________________________________
Date___________
Parent
must sign if under 18