Register for the Sensata 5K Road Race to benefit Dana-Farber Cancer

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Please fill out the form below to register for the race. This form will need to be submitted once for each person registering.

* are required fields.

* First Name:

* Last Name

* Address:

* City:

* State: *Zip:

* Email Address:

*Age (as of race day):

* M/F:

* Event:

* Sensata Employee:

*	By checking this box I certify that I am at least 18 years of age. If under 18 you will need to mail in a copy of this form. Click here to download the form.

RELEASE AND WAIVER. UNCHECKED RELEASES WILL BE REJECTED.
In consideration of the foregoing, I, myself, my heirs, executors and administrators, hereby waive and release Sensata Technologies, Dana-Farber, the City of Attleboro, USATF, USCAA and any and all representatives of each of the preceding entities from any and all claims for damages, demands and actions arising in any manner as a result of my participation in said road race, including, but not limited to any injuries I might suffer. I acknowledge that I am aware of the inherent risks in participating in an athletic event of this type. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and a licensed medical doctor has verified my physical condition. I understand that the entry fee is non-refundable and numbers are non-transferable. The race director reserves the right to reject any entry or to issue invitations.

Online registration ends June 6, 2008.

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