The Littlest Reindeer She’s the littlest reindeer South of the cold North Pole.
Waiver and Release cut here RACE INFORMATION Little ...Shuffle, Little Leprechaun and/or Littlest...
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I understand that participation in the Shamrock Shuffle, Little Leprechaun and/or Littlest Leprechaun is voluntary and involves an element of risk or danger for participants and may cause serious injury, death, or property loss. I acknowledge these risks and release the City of Eau Claire, Recreation and Sport Operations and the University of Wisconsin - Eau Claire from any liability for injuries or damages sustained while participating in the above events. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity. I also grant permission for photos to be taken of my children or me during the Shamrock Shuffle, Little Leprechaun and/or Littlest Leprechaun to be used by the University of Wisconsin - Eau Claire, or other agencies for educational/public relations purposes. Signature Date Parent/Guardian Signature (if under 18) Date Saturday, March 16, 2019 Send registration form and fees to: UWEC Hilltop Recreation Center Attn: Shamrock Shuffle 105 Garfield Avenue Eau Claire, WI 54702-4004 Questions or comments? Contact: Recreation and Sport Operations 715-836-3377 or [email protected] or visit www.uwec.edu/recreation 10:00am 5k+ Run/Walk Waiver and Release UW-Eau Claire Upper Campus McPhee Physical Education Center 5k+ run/walk cut here Little Leprechaun 1K & Littlest Leprechaun Toddle RACE INFORMATION Shamrock Shuffle 5k: Advanced Day of Child (to 10): $10 $15 Adult (11+): $15 $20 Team: $20/member N/A Little Leprechaun1k: Ages 3-10: $10 $15 Littlest Leprechaun .1k Toddle: Walking- age 2 Free Free *only 24 spots available - call-in registration only Day of Race Registration is at 8:00am Shamrock Shuffle 5k Race start is 10am. Guaranteed t-shirt deadline is Feb 27. Race map is available online. Strollers welcome! T-Shirts are available on a first-come, first-serve basis after Feb 27. Little Leprechaun1k For ages 3-10. Race start is 9am. Guaranteed t-shirt deadline is Feb 27. Participants will receive a race bib, t-shirt and a prize! Littlest Leprechaun .1k Toddle (For walkers up to age 2) This FREE event is for our littlest participants! Children can toddle, push a toy or hold their parents hand down one straight length on the McPhee Indoor Track. Each “racer” will receive an actual bib as a keepsake to commemorate their first ever individual fitness event. Only 24 spots are available so register soon by phone only (715) 836-3377. Name of Minor: 8:00am Onsite Registration 9:00am 1k for kids 9:40am Indoor Toddle
Transcript of Waiver and Release cut here RACE INFORMATION Little ...Shuffle, Little Leprechaun and/or Littlest...
I understand that participation in the Shamrock Shuffle, Little Leprechaun and/or Littlest Leprechaun is voluntary and involves an element of risk or danger for participants and may cause serious injury, death, or property loss. I acknowledge these risks and release the City of Eau Claire, Recreation and Sport Operations and the University of Wisconsin - Eau Claire from any liability for injuries or damages sustained while participating in the above events.
I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity.
I also grant permission for photos to be taken of my children or me during the Shamrock Shuffle, Little Leprechaun and/or Littlest Leprechaun to be used by the University of Wisconsin - Eau Claire, or other agencies for educational/public relations purposes.
Signature Date
Parent/Guardian Signature (if under 18) Date
Saturday, March 16, 2019
Send registration form and fees to: UWEC Hilltop Recreation Center
Attn: Shamrock Shuffle105 Garfield Avenue
Eau Claire, WI 54702-4004
Questions or comments? Contact: Recreation and Sport Operations
715-836-3377 or [email protected] visit www.uwec.edu/recreation
10:00am5k+ Run/Walk
Waiver and Release
UW-Eau Claire Upper CampusMcPhee Physical Education Center
5k+ run/walk
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Little Leprechaun 1K & Littlest Leprechaun ToddleRACE INFORMATION
Shamrock Shuffle 5k: Advanced Day ofChild (to 10): $10 $15Adult (11+): $15 $20Team: $20/member N/A
Little Leprechaun1k:Ages 3-10: $10 $15 Littlest Leprechaun .1k Toddle:Walking- age 2 Free Free*only 24 spots available - call-in registration onlyDay of Race Registration is at 8:00am
Shamrock Shuffle 5kRace start is 10am. Guaranteed t-shirt deadline is Feb 27. Race map is available online. Strollers welcome! T-Shirts are available on a �rst-come, �rst-serve basis after Feb 27.
Little Leprechaun1k For ages 3-10. Race start is 9am. Guaranteed t-shirt deadline is Feb 27. Participants will receive a race bib, t-shirt and a prize!
Littlest Leprechaun .1k Toddle (For walkers up to age 2)This FREE event is for our littlest participants! Children can toddle, push a toy or hold their parents hand down one straight length on the McPhee Indoor Track. Each “racer” will receive an actual bib as a keepsake to commemorate their �rst ever individual �tness event. Only 24 spots are available so register soon by phone only (715) 836-3377.
Name of Minor :
8:00amOnsite Registration
9:00am1k for kids
9:40amIndoor Toddle
Name:
Address:
City: State: Zip:
Phone:
E-mail:
I n d i v i d u a lR e g i s t r a t i o n
Team Name: (Team name must be ten or less letters long no #’s or symbols)
Team Members:
Team Information:• $20 per team member• 6 person minimum to form a team• Team name printed on long sleeve t-shirts• All team registrations (drop-o�, mail, or online) MUST be received by February 27 Team name printed on back of shirt (No numbers or symbols and no more than 10 letters, including spaces)
*team captains must submit completed individual registrations with signed waivers for each team member. Online team registrations will require each member to sign a waiver the day of the event at the team check-in table
Team registration MUST be received by Feb. 27, 2019
T e a m R e g i s t r a t i o n
PLEASE PRINT LEGIBLY - attach additional sheet if necessary.
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S p o n s o r s
Each team member must complete an individual registration form
Largest team wins a $150 gift certificate to Mancino’s Pizza!
1. Captain:
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Register ONLINE at RaceEntry.com. Team online registration deadline: February 27 Individual adult/youth online registration deadline: March 14
For more information: www.uwec.edu/recreation/shamrockshuffle or call 715-836-3377
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T-shirt and Team deadline is Feb 27thShamrock Shuffle 5k Prices 10 & under individual $10 11+ individual $15 Team Member $20
Little Leprechaun 1k ages 3 -10 $10
Littlest Leprechaun .1k Toddle Walking- age 2 FREE (*Only 24 spots available. Call in registration only, 715-836-3377 )
Registration Category:
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Team Name
*Registration form required for each person
O n l i n eR E g i s t r a t i o n
Youth Sizes (Little Leprechaun 1k):YS YM YL YXL No-shirt
Adult Sizes (Shamrock Shu�e 5k):S M L XL XXL No-shirt
Payment: Cash Check payable to UWEC Foundation Status: UWEC student UWEC Faculty/Sta� Community
T-shirt Size: (circle one) :
