Wasilla Area Seniors, Inc.

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Miles for Meals Online Registration Form

First Name
Middle Name
Last Name
Address Line 1
City
Zip Code
Daytime Phone() -
Birth date and age on race day:
Male or female:
Division: Walk or Run
Shirt size: XL-L-M-S
Entry fee amount must be received by 6/28
Waiver:I know that participating in a running/walking event is a potential hazardous activity and that I should not enter said event unless I am medically and physically able. I assume the risk of participating in traffic. I also assume any and all risks associated with participating in this event including but not limited to falls, contact with other participants, the effects of weather, including high heat and/or humidity, and conditions of the event course, all such risks being known and appreciated by me. Having read this waiver and knowing the risks and in consideration of my entry , I, for myself, my executors and administrators and assigners, or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Wasilla Area Seniors, Inc., the city of Wasilla, the State of Alaska, all race officials and volunteers, and any and all sponsors including their agents, employees, assigns or anyone acting on their behalf, from any and all claims of liability for death, personal injury, or property damage of any kind or nature whatsoever arising out of, or in the course of my participation in this event. This waiver extends to all claims of every kind of nature whatsoever, foreseen or unforeseen, known or unknown. I grant permission to Wasilla Area Seniors, and/or agents authorized by them, to use any photographs, video tapes, recordings, and any record of this event for any purpose. By clicking send I agree to this waiver and submit my application. You may be asked to sign a copy of this exact waiver before racing.

For directions to our location, enter your starting point in the form below and click the "Get Directions" button. A new window will open displaying a map with directions.

Get Directions To:
1301 Century Circle
Wasilla alaska 99654
USA
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Home Page

Wasilla Area Seniors, Inc.
1301 Century Circle
Wasilla, AK 99654
907-376-3104

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