CNB Bank and Trust Independence Day 5K Online Registration

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Registrant #1

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$25.00 + $2.50 SignUp Fee

(Group Pricing)

Fun Run (Untimed - 12 and under)

$12.00 + $1.72 SignUp Fee

(Group Pricing)

Multi-Person Pricing

Waiver

IN CONSIDERATION OF THE FOREGOING, I FOR MYSELF, MY EXECUTORS, AND ADMINISTRATIONS AND ASSIGNS DO HEREBY RELEASE AND DISCHARGE THE RACE COMMITTEE, THE CITY OF JACKSONVILLE, THE VILLAGE OF SOUTH JACKSONVILLE, CNB BANK & TRUST, N.A. PRAIRIELAND UNITED WAY, RACING EXPECTATIONS, AND ALL SPONSORS AND THEIR REPRESENTATIVES FROM DAMAGES, ACTIONS AND CAUSES OF ACTIONS WHATSOVER, IN ANY MANNER ARISING OR GROWING OUT OF PARTICIPATION IN SAID ACTIVITY. I CERTIFY THAT I HAVE RUN THE DISTANCE, OR IN PRACTICE REGULARLY IN THE WEEKS PRIOR.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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CNB Bank and Trust Independence Day 5K

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Multi-Person Pricing

Waiver

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Registrant #1

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Multi-Person Pricing

Waiver

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