Shamrock Run 2025 (under 18 years of age)

Ages 9-17 $25 entry fee required, ages 8 and under free entry. (required)

Participate is age 9-17

Participate is age 8 or under

Parent/guardian Name and Phone number (required)

Childs First Name (required)

Childs Last Name (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Birthday (required)

Shirt size ( limited quantity, not a guarantee) (required)

Waiver Acknowledgment - I acknowledge that I am participating in a potentially hazardous event. I will not enter and participate unless I am medically able and properly trained. I agree to abide by any decision of the race official as to my ability to safely compete in this event. I assume all risks associated with this event, including but not limited to falls, contact with other participants, effects of weather including high heat and humidity, traffic and the condition of the road, all such risks being acknowledged by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Stoddard County Ambulance, the City of Dexter, the Stoddard County Children's Home, race officials, volunteers and all sponsors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I know that dogs, bicycles, or inline skates are not allowed on the course. (required)

Yes

No

This form is filled out by parent or gaurdian (required)

Yes

No

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