Print this form, Make check and
mail to: Diehl's Cider Mill 1479 Ranch Rd. Holly, MI 48442
Name:____________________________________________________
Address:__________________________________________________
City:_________________________State:______Zip:______________
Phone:____________________________________________________
Age on Sept. 26__________ SEX: M F Event Entered: 1 Mile Fun Run * 4 Mile Run
Shirt Size: Youth * Small * Medium * Large * Extra Large * Extra Extra Large
DISCLAIMER:
(must be signed) I hereby release all
participating groups, sponsors and persons officially connected with the
Ciderfest Run from any and all liability from any injuries or damages whatsoever
arising from my participation in the event.
Entrant's
Signature______________________________________________________
Parents Signature (if entrant is under 18)______________________________________