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Waiver:
In consideration of the acceptance of this entry, I hereby waive and release any and all rights
and claims for damages that I or my heirs may have against the City of Marysville, the Union
County Sheriff's Office, the Columbus Running Company, Honda of America Mfg., Honda R&D
Americas, Honda Marysville / Honda Marysville Motorsports, Home Depot, the Pediatric Brain
Tumor Foundation, Wal-Mart, and all other race sponsors and volunteers. I certify that I have properly
trained for this event and am medically able to participate. My signature below constitutes
acceptance of these terms. By selected "I Agree" below, you are authorizing your signature to be taken electronically, which holds the same value as your written signature.

Waiver Signature:     I Disagree I AGREE