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Entry Fees (check one)

By entering this event, I agree, warrant and covenant as follows: I know that running is a potentially hazardous activity. I should not enter or run in competitive runs unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release Arlington Cooperation Foundation, Princeton Running Company, National Park Service, USATF, and all sponsors, their directors, officers, employees, agents; representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I acknowledge that the application fee shall be non-refundable. I agree that Arlington Cooperation Foundation may use my name and likeness for publicity purposes.

Signature (parent or guardian if under 18) ___________________________________________________________

Name ________________________________________________________________________________

Address _____________________________________________________________________________

City ST ZIP ________________________________________________   ___ ___   ___ ___ ___ ___ ___

Phone ____ ____ ____-____ ____ ____-____ ____ ____ ____

E-mail ______________________________________________________________________________

Gender [__] (M | F)

Age as of 9/19/2009 [__ __]

Birthday ____ ____-____ ____-____ ____ ____ ____ (mm-dd-yyyy)

T-shirt [_] (S | M | L | X)

Event [_] 10 mile [_] 20 mile

Please join Arlington Cooperation Foundation for $10 -- and get a $10 discount on your entry fee. Mission:  Arlington Cooperation Foundation works toward a sustainable future for our community by supporting, encouraging, educating, and disseminating information about good health, healthy nutritional choices, physical fitness, issues of public health, and the benefits of co-operative living.  I support the mission and activities of Arlington Cooperation Foundation, and I want to contribute to its future activities.   I understand that the Board of Arlington Cooperation Foundation must approve my application.     [_]   I apply for membership in Arlington Cooperation Foundation.  Enclosed is my check for $10 payable to ACF.