8th annual sparky's run * member of road runners club of america June 12th at Lions Park *proceeds to benefit crystal wilkinson’s cancer research ‘wheresoever you go, go with all your heart’ Entry Form *Name (Last, First) ____________________________ __________ *Street Address_________________________________ *City/Town______________________________ *State___ *Zip Code _____Telephone *Age___Birthday / / Sex (M or F) Please enter me as a contestant. In consideration of my entry being accepted, I hereby for myself, heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the Race Committee, the city of Albany, and the Corning Preserve for any and all injuries suffered by me while competing in and traveling to and from the Sparky’ Run 5k Race. *Signature (parent or guardian if entrant is under 18). You will not be registered if the form is not signed. _____________________ see online reg through paypal or Mail this form to Sparky's Run 28 Mary Hadge Drive Schenectady, NY 12309 Email: [email protected]