Neurofibromatosis, Inc., Northeast

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Online Race Registration

"Steps 2 Cure NF"

First Name:	Last Name:

Address:	City:

State:	Zip:

Email:	Gender:
	Male Female
Age on Race Day:	Please Check One:
	Runner Walker
Age Division (for runners only):
17 & Under 18-29 30-39 40-49 50-59 60+
T-Shirt Size:
Youth Medium Small Medium Large XL XXL
Release of Liability:
I hereby for myself, my heirs, executors and administrators waive and release any and all rights and claims for damages I have against sponsors, race diretors and their respective officers, organizers, timers, volunteers, City of Woburn, Conservation Commission, its agents, servants and employees, and any individuals associated with the Run/Walk for NF from any claims, personal injuries, liabilities or expenses whatsoever from my participation in this event at Horn Pond and surrounding area. I attest that I am physically fit and trained to participate in this event. Further, I grant full permission to any and all of the foregoing to use my likeness in media including photographs, or any other record of this event for any legitimate purpose.
I Agree
Please send me a fundraising package

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Neurofibromatosis, Inc., NE
9 Bedford Street
Burlington, MA 01803
781-272-9936