Please make check or money order payable to
St. John Vianney Church
Mail to:  St. John Vianney Church 2950 Southwestern Blvd. Orchard Park NY 14127

In consideration for my entry being accepted, I, intending to be legally bound, do hereby for myself, my heirs, executors and administrators waive, release, and forever discharge any and all claims and rights for damages which may hereafter occur to me against St. John Vianney Church, the Town of West Seneca, West Seneca Police Department, Town of Orchard Park, the race sponsors, race directors, all other donors and contributors and successors and assigns, for any and all damages which may be sustained by me in connection with, or entry in, and arising out of my traveling to, participating in, and returning from said event.