Race-Walk Clinic at Cornell University, Jul 26-28 2002

Entry Form

NAME_______________________________________________

PHONE (_____)_____________________

ADDRESS____________________________________________________________

CITY__________________________ STATE_______________ZIP_______________

E-MAIL_______________________________________________

WAIVER (Heretofore referred to as fineprint): I, being of sound mind and
body, do fully understand that participating in the sport of racewalking may
result in my being subject to a panoply of physical and emotional aliments.
I agree that by attending this Daredevil Racewalking Weekend, I may be
advised by Dave to wiggle my extremities in ways not intended by my
creator, and that such wigglings may cause otherwise staid, emotionally
stable, yet sedentary passersby to burst out into uncontrollable snickering.
In consideration of the acceptance of my entry, I the undersigned,
intending to be legally bound for myself, my heirs, executors,
administrators and assignees, do hereby waive and release the organizers of
this event, and any other parties even less remotely connected to Dave's clinic
than the aforementioned, from any claims connected with this relatively harmless
daredevil racewalking weekend. I also attest that I am physically fit to participate
in this clinic, and certify that I will change my socks every 3,000 miles and
will not now, nor in the foreseeable future, racewalk naked in public between the
hours of 8:15am and 4:45pm.

SIGNATURE:____________________________________________

DATE__________________________

Send completed entry and checks ($125) payable to Dave McGovern to:

Sylvia Kwakye
426 Riley-Robb Hall
Ithaca, NY, 14853