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This AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Please return completed form signed waiver and make checks payable to Fauquier County Dept. of Parks Rec Marshall Community Center 4133-A Rectortown Road Marshall VA 20115 Registration Form Please check one 5K- 30- 9975 1-mile Fun Run- 15- 9976 Name Date of Birth // Sex M F Address City State Zip Phone e-Mail Business/Non-Profit/Family/Group Name if applicable...

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Please return completed form is a document that needs to be filled out and returned with all relevant information and signatures.

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