Sugar Plum Stampede Registration Form

Participant Details
Location: 502 Ramah Rd, Palmetto, GA 30268
Race Dates: November 29, 2025
Wave Times:
- Sugar Plum Division - Ages 5-9 - 10:30 am
- Elf Division - Ages 10-16 - 11:30 am
- Reindeer Division - 17 & up - 1:00 pm
Additional wave times may be added depending on the number of entrants in each division.
Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number
Relationship to Emergency Contact Person
Registration Payments
Payment Method
Zelle 678-907-8200

PayPal  scredidio@bellsouth.net

Venmo  @OfCourseIDoWhatIWant

***Registration is not complete until payment is received. After submitting this form, please complete payment using one of the above methods.***
Registration Fee*
prevnext( X )
Sugar PlumAges 5-11
$5.00



Elf DivisionAges 12-17
$7.00



Reindeer DivisionAges 18 & up
$10.00



Total

$0.00
Waiver & Release
Type a question

I understand that this fun run is not a timed event and the winner of each division is based on costume not run time or place finishing.I confirm that I am in good shape, health, and condition.I don't have any medical condition or medical history that will affect my participation in this event.I will follow the rule and regulations of the road race event.I acknowledge that this road race requires physical activity and there are possible risks and danger.I release the road race event organizers for any responsibility in case of an accident, illness, or injury.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.
Participant's Signature

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Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

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***Registration is not complete until payment is received. After submitting this form, please complete payment using one of the above methods.***
Should be Empty:

Participant Details

Registration Payments

Waiver & Release