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Leprechaun Lane North KC

Riverside, MO 64150

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By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####


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In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director,, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race (on a levee) is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

Additionally, the undersigned is a voluntary participant (or a parent of a minor participant) in the Leprechaun Lane Run which will be held in Riverside, Missouri, and hereby states that he/she (or said minor participant) is physically fit and sufficiently experienced to participate in this event. The undersigned participant (or parent of a minor participant) understands that there are certain dangers and risks of injury involved in participating in this event. With such knowledge and in consideration of being allowed to participate in this event, and having read this document, the undersigned participant (or parent of a minor participant), intending to be legally bound, for myself and/or my minor child, my heirs, personal representatives and assigns, hereby covenant not to sue, and hereby waive, release and discharge the City of Riverside, MO, the Riverside-Quindaro Bend Levee District of Platte County, MO and all of their respective elected officials, board members, employees, independent contractors and all other agents thereof, together with any and all volunteers, organizers and sponsors of this event, from any and all claims or liabilities for death or damages for any and all injuries to the undersigned or my minor child as a participant or the undersigned's property arising out of or in connection with the participation of the undersigned or the undersigned's minor child in this event; and, in addition, the undersigned shall further defend, indemnify and hold harmless the City of Riverside, MO, the Riverside-Quindaro Bend Levee District of Platte County, MO and all of their respective elected officials, board members, employees, independent contractors and all other agents thereof, together with any volunteers, organizers and sponsors from and against damages, liability, claims, losses, costs and expenses, including reasonable attorney's fees, rising out of or resulting from any act or omission of the participants in this event. This Release, Waiver and Indemnification extends to all claims of any kind or nature, whether foreseen or unforeseen, known or unknown which the participant and/or the participant's minor child has or may have as a result of participating in the Leprechaun Lane Run.

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This is a service fee for processing your race application.

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