First Name |
|
Last Name |
|
Date of Birth |
|
Email Address |
|
Phone Number |
|
Miles I Pledge to Run/Walk |
|
Are you up for the Tower-to-Tower 5K Challenge? * |
|
Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Student Union, United Way, the city of Stillwater, and all event sponsors, their |
|
|