Make Checks payable to:
“LHS Project Grad”

Send check and entry form to:

ATTN: Beth Knight

Lebanon High School

777 Brice St.

Lebanon, MO 655536

Shamrock Shuffle!

Entry Form

$100 entry fee per team

($125 per team if received after March 11^th)

$30 Individual entry for 5K or 10K run

Leprechaun Lap (10 and under) $15 per child

Mile Fun Run/Walk $20 per person

ALL ENTRY FEES MUST BE INCLUDED WITH FORM

SHAMROCK SHUFFLE TEAM MEMBERS (4)

(Individual entry fill out the appropriate space below)

1. 5K runner _________________________ ______ _ ____ _____________

Name Age M/F S M L XL XXL

unisex t-shirt sizes

2. 5K runner __________________________ ______ ____ ______________

Name Age M/F S M L XL XXL

unisex t-shirt sizes

3. 5K runner __________________________ ______ ______ ______________

Name Age M/F S M L XL XXL

unisex t-shirt sizes

4. 10K runner __________________________ _____ _____ ______________

Name Age M/F S M L XL XXL

unisex t-shirt sizes

Team Name ________________________ Sponsor _________________________

Contact Person __________________ _______________ ____________________

Name Phone # email

LEPRECHAUN LAP (10 and under)

_______________ ___ ____ _________

Name Age M/F YS YM YL S M L Youth sizes/adults

MILE FUN WALK/RUN (ON THE LHS TRACK)

_____________________ ____ _____ ____________

Name Age M/F YS YM YL S M L XL XXL