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Online FREE Kids Dash
Registration Form

Registration Fee..............$ FREE 

  • Register online OR mail completed registration form and payment to:
    Mike Bruns c/o Helias Foundation, 1305 Swifts Hwy, Jefferson City, MO 65109


  Printable Registration Form Available for Download Here
Child's First Name:
Child's Last Name:
Date of Birth: //
Gender: Male    
Parent/Guardian's Name:

I have completely read and agree to the following.
I acknowledge and represent that I am physically fit and sufficiently trained to participate in an event of this nature. I accept full responsibility for any injury or accident resulting from my participation in this event and release from any and all liability Helias High School, Helias Foundation Incorporated, the City of Jefferson and all race sponsors and any race officials.
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