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I, for myself, my heirs, and executors, in consideration of any
participation in the 20th Annual Pirates Family Fun Run/Walk
(hereinunder called the "Event"), hereby release and hold harmless
the Epilepsy Foundation Western/Central Pennsylvania and others
connected with the Event, including the Epilepsy Foundation National
office, municipalities, sponsors and their directors, officers,
employees, volunteers or agents from any and all claims for damages
or injuries which I may suffer in connection with the Event. I give
my consent to use my name, likeness, voice or biographical information
and any photos, recordings, or video tapes taken or any other
publicity including me at the Event.
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