MISS Foundation : Memorial Run

2004 Children's Memorial Run

Online Registration:

You can submit your information using this form. We will have your information at the run and you will just have to check in and pay your entry fee at the park. This form eliminates having to fill it out on the day of the race. You can also download the informational brochure with a registration form in it, or the sponsor sheet to get pledges to help with this fundraiser.
Fields with an * are required.

Your name*:
Address*:
City*:
State*:		Zip*:
Phone*:
Your Email Address*:
Age:
Number of kids in race:
T-Shirt Size*:		Small Med Large X-Large XX-Large
Additional comments (optional):

Waiver:
I know that running a road race is potentially hazardous activity. I should not enter unless I am medically stable and properly trained. I agree to abide by any decision of a race official, relative to my ability to complete the race. I assume all risks associated with this event. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf waive and release the MISS Foundation, Water Watchers, sponsors, contributors and event staff from all claims or liabilities of any kind arising out of my participation in this event.

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The M.I.S.S. Foundation is a nonprofit, 501(c)3, international organization which provides immediate and ongoing support to grieving families, empowerment through community volunteerism opportunities, public policy and legislative education, and programs to reduce infant and toddler death through research and education.