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Dirty Dozen Mud Run and Clemmons Bash FOOD TRUCK Vendor

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  3. Proceeds from the Dirty Dozen 5K Obstacle Mud Run will benefit people in the community and towards the Y innovative health programs benefiting cancer survivors, diabetes prevention, and other chronic disease programs. There is NO ENTRY FEE; however, the Jerry Long Family YMCA request 10% of your proceeds be given back for their community programs as mentioned above. I agree to donating 10% of the proceeds from the event back to the YMCA.*
  4. By submitting this form, I understand that as a participant in a Village event I will not be covered under the Village’s workers compensation. As a participant, I recognize that there is a risk of harm, or injury exists and agree to hold harmless the Village. I will comply with state & local Department of Public Health guidelines.*
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