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KylesRace Registration Form

Kyle’s Race 5k Run/Walk

*Mail this form & payment  to:

16 Springside Rd #1

Middlebury, VT 05753

*Checks made payable to "Kyles Race"

Donate! $20/partipant; $10/student; Ages 12 and under FREE or w/ donation
*Contact kylesrace@gmail.com for special family rates if several family members are interested in participating.

This event is a benefit for Kyle Grant, an 8th grader at Vergennes Union Middle School with Myotubular Myopathy.

All participants who pre-register before May 5th will receive a FREE t-shirt made of organic cotton and printed with biodegradable inks.

*All proceeds will be donated to The Joshua Frase Foundation (JFF). This Foundation supports research for Myotubular Myopathy (MTM). MTM is a muscle disorder that produces profound skeletal muscle weakness. The regenerative research the JFF is conducting is leading to growth of new tissues and organs for patients who need them! 
 


____No, I can't make it. Enclosed is my donation.

____Yes! Of course I’ll be attending!

____ Number attending from household?

Name of Participant(s) and Parent/Guardian Signature (if participant(s) are under age 18):
________________________________________________________________________________________________________________________________
*This is not a release of liability. Participants agree to sign a release of liability for themselves and all of those under 18 whom you are responsible for on the day of Kyle’s Race.