The 52 Division Bill Harper Memorial Run
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Individual Entry Form

First Name:
Last Name:
Age:
Sex: Male  Female
Division (if applicable):
Service (if applicable):
Category: Run
Walk
Other
Address:
Email Address:
Emergency Contact Name:
Emergency Contact Number:
I have read and agree to all the terms in the waiver.

Event Information

When: Sunday, August 24th, 2008

Where: The Centre Island Ferry departs the city at 8:00am and every 15 minutes afterward

Time: 10:00am sharp!

Cost: $10.00 which includes a light lunch