5K Labor Day Run - Village of Dobbs Ferry
Transcription
5K Labor Day Run - Village of Dobbs Ferry
The Dobbs Ferry Recreation Department, Mercy College and Doubleday’s Presents: Dobbs Ferry “Labor on Labor Day” 5K Run First 100 runners to register receive a free t-shirt! Dobbs Ferry Parks & Recreation Department 60 Palisade St., Dobbs Ferry, NY 10522 Please make checks payable to the Village of Dobbs Ferry. Name ____________________________________ Age as of day of race _________ DOB ___________ Sex _______ Address ________________________________ Home Phone __________________Email_______________________ Emergency Contact ____________________________________________ Phone _____________________________ Program: Dobbs Ferry 5K Run Fee: $15.00 registration, $20.00 day of race As a participant in the above program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risks of any injuries, damages or loss which I or my child may sustain as a result of such participation. I further understand that the Village of Dobbs Ferry and Mercy College does not provide accidental medical coverage and it is my responsibility to provide appropriate coverage. I agree to waive and relinquish all claims and hold harmless the Village of Dobbs Ferry, the Parks and Recreation Department, Mercy College its officers, agents and employees from any and all claims. Signature _________________________________________________________ Date _________________ For more information call the Recreation Department at 693-0024