Instructions: Print this form, fill it in and mail with payment to:
Fun Run, Recreation and Community Services, GPO Box 1591, Sydney 2001.
Please make cheques/ money orders payable to CIty of Sydney.

All entrants must sign the declaration.

I would like to enter the Run / Walk and order a M / L / XL souvenir t-shirt. I enclose a cheque / money order for $____

6km Run

6km Walk

Declaration by applicant and parent (where applicable).
In consideration of the acceptance of the applicants entry, the applicant (and parent where applicable) and the executors and assignees of each of them, hereby release and forever discharge the organisers and their respective officers, proceedings, claims, demands, damages, costs, expenses, all losses whatsoever in any manner arising out of or in connection with participation in this event by the applicant. I attest and verify that I have full knowledge of the risks involved in participation in this event by the applicant and that the applicant has no physical or mental condition which has the potential to put the applicant pr any other person at risk. The applicant is physically fit and sufficiently trained to participate in this event. I have read and understood the rules and conditions for the event and agree to abide by them and to accept any decisions made under them. I hereby consent to the applicant receiving medical treatment that may be deemed advisable during the event. It is noted that any applicants under 18 years of age will only be accepted if the consent below is signed by a parent of the applicant.

Parent's Signature____________________________Date____________