CPI Intramural Cross-Country

Get ready to RUN!

Who: The first 60

Why: Fun

5th or 6th graders interested in

Cross-Country Running!

Cost: $10.00 (includes a

When: August 17, 24, 31,

t-shirt and water bottle)

September 14, 21, 28

2:30-3:45

How: Return the completed

permission slip to the office by
August 7, 2015.

Where: CPI

------------------------------------------------------------------------I give my permission for my child to participate in CPIs Intramural Cross-Country.

__________________________________________________________________________________________
Parent Signature
_________________________________________________
Printed Parent Name

______________________________________
Contact Number

PLEASE PRINT CLEARLY

Student name: ______________________________________________________________ Grade: _______
Homeroom Teacher: _______________________________________________________________________
Emergency Contact Name/Phone Number : _______________________________________
Please indicate any medical concerns that may need to be addressed:

_____________________________________________________________________________
_____________________________________________________________________________
Please make checks payable to CPI and indicate your childs size!

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Adult XXL