Shamrock Training Form

Shamrock Shuffle Training
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Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*

Area CodePhone Number
E-mail*
Emergency Contact*

First NameLast Name
Emergency Contact Cell Phone*

Area CodePhone Number
Why do you wanna train?

Race Shirt

Yep, it's finally back.
Shamrock Shuffle Race Shirt $22.50
All trainees are REQUIRED to purchase a race shirt.

The Fine Print Stuff
Date

MonthDayYear
eSignature
Please note that an esignature is the electronic equivalent of a hand-written signature.

The Money Part

Begging you to read here.

ALL payments are processed through Paypal
There is a proccessing fee for ALL online payments.

When you click on Continue to Paypal you will be taken to the PayPal website to complete your order. (Be patient, it may take a lil bit.) The screen will look like this:

Your Cart*

Registration Fee (Required)$36.00

Race Shirt$22.50

Size	How many?	Price
S		$22.50
M		$22.50
L		$22.50
XL		$23.50
XXL		$24.50

Item subtotal:$0.00

Subtotal $0.00Tax $0.00Total $0.00

Should be Empty:

Shamrock Shuffle Training

Race Shirt

The Fine Print Stuff

The Money Part