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Race Judicata 5K Fun Run/Walk

Your Name*:
Campus:   Carlisle – Saturday, April 5, 2014, at 9 AM beginning and finishing at the law school with all proceeds benefiting LRAP

  University Park - Sunday, April 6, 2014, Orchard Park, 1060-1106 Bayberry Dr., State College, PA 16801
Race Start: 10:00 AM. Please confirm registration between 8:30-9:30 AM on the day of the Race. Registration will be located at the Pavilions. To Benefit: Penn State Dickinson School of Law-Public Interest Law Fund

Class Year
(if applicable):
Gender: Male     Female
Age:
Address:
Street
City State Zip Code
Telephone:
E-Mail Address*:
T-shirt Size*: Small   Medium   Large   XL   XXL 
Category: Student   Alumni   Faculty   Staff   Friend

  Yes, I will participate in the race.
  No, I will not participate, but I would like to make a contribution.

The entry fee for registrations is $15 and includes a race t-shirt. Prizes will be awarded to the top male and female finishers. Payment is required before receiving race materials on the day of the race. Payments or donations by check should be made payable to The Pennsylvania State University and mailed to:

Office of Student Affairs
Attention: Race Judicata
Penn State Law
333 W. South St.
Carlisle, PA 17013 

Credit card payments may also be made online.

        

Waiver: In consideration of participation, I, by submission of this form, assume all risks associated with running in this event and do hereby release and discharge The Pennsylvania State University, Dickinson School of Law and their representatives from any and all claims for injury, death, or property damage in connection with the Race Judicata. I acknowledge, agree, and represent that I understand the nature of the race and am qualified and in proper physical condition. I acknowledge that the activity will be conducted over public roads and facilities open to the public upon which hazards of traveling are expected. I further agree if at any time I believe the conditions to be unsafe, I will immediately discontinue participation in the activity. I HAVE READ THIS DISCLAIMER, WAIVER AND RELEASE AND RECOGNIZE THAT I GIVE UP SUBSTANTIAL RIGHTS BY submitting THIS FORM. I KNOWINGLY ASSUME THE RISK.