Please enter me as a runner/walker in the St. Joseph School Falcon 5k. My entry fee/donation is enclosed. In signing this form, I for myself, my heirs,
executors, and administrators, release St. Joseph School, St. Joseph Parish, the Diocese of Norwich, the race
directors, the volunteers, and all sponsors of this race from all liability in the case of injury received as a result of participation in this run.
In case of a minor (under 18) this form must be signed by the parent or guardian of entrant. Under age 12 must be accompanied by an
adult. SecureFee™ Registration Cancellation Insurance is offered in most states. If purchased, your registration may be covered for one of the covered reasons stated in the policy.