Sahnoans Bare Buns 5K Registration Form April 12, 2008 - 1:00 PM Fill out this form with your browser. Print it, sign, make check payable to C. O. G. Inc., and mail to: Star Ranch P.O. Box 845 McDade, TX 78650 $20 if registration received by April 1, 2008. $25 if received after April 1, 2008

First Name

Last Name

Address

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State

Zip

E-Mail

Phone

Age on
April 12

Date of Birth

Gender

Male   Female

T-shirt

S      M      L      XL     XXL     XXXL

Payment by

Check  Money Order  (Make payable to C.O.G., Inc)
Mastercard  Visa   Discover

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Year

Credit Card Number

Expiration Date

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Credit Card Security Code

Signature for credit card: _______________________________    Date: __________

The following waiver must be signed and submitted with registration: WAIVER: I, the person submitting this entry, am aware that participating in an event such as a 5K Run is a potentially hazardous activity, and that I (or my child, if I am signing as a parent or guardian) should not so participate unless physically able. I verify that I am (or my child is) medically fit to participate and will have sufficiently trained for the event prior to participation. I and my child (if I am signing as parent or guardian) agree to abide by the rules and decisions of any event officials, relating to participation and assume all risks associated with participation in the event and any associated event or activities including but not limited to falls, contact with participants, effects of weather such as high heat and humidity, traffic, road conditions all such risks being known and appreciated in consideration of acceptance of the entry fee and intending to be legally bound. I and my child (if I am signing as parent or guardian) and anyone entitled to act on my (or our behalf(s)), assume all risks associated with participation and waive any and all claims what so ever against, fully release C. O. G. Inc., race day volunteers, and all event promoters and sponsors, and their representatives and successor, from all claims damages or liability of any kind arising from my (or my child’s) participation in this event. I understand that entry fees are not refundable. I have read this agreement carefully and understand it and certify my agreement by my signature below. _______________________________________________________________________________________  Signature                                                   Date _______________________________________________________________________________________  Signature of parent or guardian if under 18 years of age                  Date