Reindeer Run Registration Form
ESHS Student Council is holding a 1 mile run/walk through the Lane of Lights on Friday, December 2nd at 5:30pm. The event will end at Piburn Park, where we will celebrate the holidays with hot chocolate, candy canes, decorations, and music! Cost of the event is $25 with a long sleeve shirt or $10 with no shirt. Preschool and younger are free! We hope to see you there!!! Registration ends on November 10th.
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Email *
First Name *
Last Name *
Phone Number *
Date of Birth *
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Emergency Contact (Name & Phone Number) *
Gender *
T-Shirt Size (All adult sizes unless noted) *
Paid? Please send all payments to:
 Excelsior Springs High School
 C/O Allison Neumann
612 Tiger Dr.
Excelsior Springs, MO 64024
*
WAIVER: Reindeer Run Release Form Release of Liability: I, the undersigned, for myself, my heirs, personal representatives and assigns, do release, waive, covenant not to sue and discharge The Excelsior Springs School District and affiliated persons and entities with this event, from liability from any and all claims resulting in death, personal injury, accidents or illness and property loss arising from but not limited to, participation in this athletic event. I also understand that entry fees are non-refundable. By checking "Yes" you agree electronically that you have read, understood and agreed to the waiver(s) above. You also are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. By registering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration. By checking "Yes" below, I agree to the ESHS Reindeer Run Waiver *
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