Linda's Closet Registration Form Primary Registrant Registration Type * Individual Corporate Family First Name * Last Name * Address * City * State * Zip Code * Phone Number * Email Address   Organization   Title   Questions What is your age on the day of the race? * Please provide the t-shirt size for the participant you are registering: * Small Medium Large Extra Large Are you a Walker or a Runner? * Runner Walker Release/Waiver I know that running and road racing are potentially hazardous activities. I certify that I am physically able to participate in the Linda’s Closet 5K Walk/Run on September 11, 2010. I assume all risks associated with participation in this event. In consideration of your accepting my application, I myself, and anyone entitled to act on my behalf, waive and release all race organizers, the Nelson School, all municipalities, all volunteers, all sponsors, their representatives and successors from all claims or liabilities arising out of my participation in this event. I also grant permission for the use of my name, address, and/or picture in any broadcast, photograph, or other account of this event. * I agree to the waiver Signature Please type your full name to sign this form: *