2012 Franny Flier Registration

2012 2nd Annual Franny Flier Registration

Please complete and submit the following form.

Thank you.

First Name
Last Name
Street Address
City
State
Zipcode
Phone
Email
Gender:	Male Female

Age (Required):

Select one:	Walk Run Roll

1k Kid's Run	Yes

T-Shirt Size:	Adult Small Adult Medium Adult Large Adult X-Large Youth Small Youth Medium Youth Large

YES, I would like to volunteer!	Yes No
Waiver: In consideration and acceptance of my entry, I, the individual registering to participate in this event and completing this online form, intending to be legally bound for myself, my heirs, executors, and administrators, do hereby release and hold harmless St. Francis Xavier Church, the Diocese of St. Cloud, and any and all sponsors and assigns from any all liability arising from illness or injury I may suffer as a result of my participation in this event. I attest and verify that I am physically fit and have successfully trained for the completion of this event. I am further aware that this event will run on public property, which is not entirely closed to traffic. I have read the foregoing and certify my agreement by my checking the "I Agree to the Terms of the Waiver" box.
Waiver:	I Agree to the Terms of the Wavier.

Upon completing and Submitting this form, you will be redirected to the secure online payment page to pay the registration fee. Thank you.

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