The Narberth CF Run
9:00 AM @ Narberth Park
Name____________________________________________________ Age__________
Address________________________________________________Sex M F (circle one)
City____________________________ _______State___________ Zip_____________
Email___________________________________________________________________
Waiver & Release- Entrants Must Sign
In consideration of this entry being accepted, I hereby, for myself, my heirs, Executors and Administrators, waive and release any claims that I may have against the Borough of Narberth, the Sponsors, their representatives, successors, or assignees for any injuries that may be suffered by me in this event. I also give permission for the use of my name and/or picture in any newspaper, broadcast, or any other account of this event. I certify that I am in physical condition for this event.
Signature_______________________________________________________________
*Parent Signature________________________________________________________
*If under 18 parent/guardian must sign
Please sign and mail with check to:
Narberth CF Run
P.O. Box 752
Narberth PA 19072