AWARDS:
Top 10 in each division, certificates to all finishers.

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NAME:_____________________________________________________________________________

PHONE:______________________ DATE OF BIRTH:______________SEX (circle one):     M     F    

ADDRESS:_________________________________________________________________________

CITY, STATE, ZIP:__________________________________________________________________

SCHOOL:__________________________________________________________________________

E-MAIL:___________________________________________________________________________

DIVISION:     5-under     Primary     Bantam     Midget     Youth     Intermediate     Young

WAIVER: In consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Alabama Striders, New Life Sports, Riverwalk, Birmingham Parks and Recreation Department, all sponsors, volunteers and supporters of this meet, with their representatives and successors from all claims or liabilities arising out of my participation in this event. I grant permission to everyone to use any photographs or records of this event for media use or any other legitimate purpose, without compensation to me.


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SIGNATURE OF PARENT OR GUARDIAN                                                           DATE

Fee is $6 in advance or $6 on meet day.
Make checks or money orders payable to Alabama Striders.
Mail to: Alabama Striders; 1416 33rd Street North; Birmingham AL 35234
For more information call 205-276-9551.