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WAIVER AND RELEASE AGREEMENT 5k Circle One : 10k PRINT CLEARLY Last Name: First Name: Gender (circle one) Male Circle One (if applicable) Military Female Student Birthdate: / / month day year Phone:
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Circle one is a section on the form where specific information needs to be provided.
Anyone who meets the criteria outlined in the form instructions is required to file circle one.
Circle one should be filled out by providing the requested information in the designated spaces.
The purpose of circle one is to gather specific data for reporting purposes.
Information such as name, date, and other relevant details may need to be reported on circle one.
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