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2016 Cross Country Team Registration

Student Name ___________________________________________________


Grade ____________
Parent/Guardian
Name(s)________________________________________________________
Parental Contact #s ____________________ or ______________________
Most of our communication is done through e-mail. Please provide an e-mail(s)
that you check regularly.
E-mail: ____________________________________________________
2 e-mail ___________________________________________________
nd

Please initial/circle the following:


_________
I understand that before my child can participate in practices and
meets, he/she must have a sports physical on file.
_________
I understand that in case of inclement weather on Thursdays,
practices will be cancelled, and I will be responsible for my child at regular
dismissal time.
_________
I understand that this program depends on parental volunteers to
continue. I am most available to help on (circle one or more). Remember, you
need not be a runner to volunteer!
Thursdays 4:00-5:00

At Meets (Races)

Comments:
_____________________________________________________________________
____________________________________________________________________
Yes or No

I am able to run at least a 10 minute mile pace with runners.

Yes or No
My child has asthma. If yes, please explain type and use of
inhalers.
______________________________________________________________________
______________________________________________________________________
_________________________________
_________________________
Parental Signature
Date

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