Run For Your Life 2025

Name*

First NameLast Name
Email*
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Category
Age Group
Team Name
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Department
Address

Street Address

Street Address Line 2

CityState

Zip Code
I hereby do declare that my physical condition is adequate to participate in the Run For Your Life 5k Fun Run/2k Walk. I, the undersigned, waive any and all rights and claims for damages I may have against Ivinson Memorial Hospital and their representatives for any injuries suffered by me in said event.
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