Register For
Keith Nintzel Memorial 5K

Sayville, NY 11782

Registrant #1

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$30.00 + $3.74 SignUp Fee

$25.00 + $3.45 SignUp Fee

$30.00 + $3.74 SignUp Fee

$10.00 + $2.58 SignUp Fee


Waiver

In consideration of my signing this agreement, I hereby for myself, heirs, and administrators assume any and all risks, which might be associated with the Keith Nintzel Memorial Run. I waive and release any and all rights and claims for damages, which I may have against the sponsors, organizers, Sayville Running Company, Keith R Nintzel Memorial Scholarship Fund, SRC Timing, Town of Islip and any others connected with this event, their representatives, successors, and assigns for any and all injuries or damages of any kind suffered by me as a result of taking part in the event and related activities.




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