Intramural "Running" Wednesdays 10/13, 10/20,10/27 & 11/3 (6th Grade Only)

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Intramural Running is for any 6th grade student interested in running with their classmates after school on Wednesdays starting Oct 13th. The intramural runs from 3:00 pm- 4:00 pm. Students can take the late bus or arrange for a ride home at 4:00 pm. Please fill out the google form to register. This intramural is limited to 40 students. This intramural will be run on the tennis courts outside. If the weather does not cooperate on a certain day it will need to be canceled for that day.

Email *

First Name (Student) *

Last Name (Student) *

Contact Number *

I am signing up a 6th grade student *

Yes

No (This intramural is for 6th grade students only)

Required

How is student getting home? *

Late Bus (Please make sure they know what bus #)

Car pick up

Please review the following information: My child has a chronic health condition, and I have made arrangements for my child to have access to required medication/devices (i.e. inhalers, glucose testing equipment, epi-pens, etc.) during their participation in the after school activity OR my child has a food allergy and I have informed the club sponsor of my child’s food restrictions. Describe arrangement: (i.e. where medication will be stored; if self-carry-the appropriate forms have been completed and submitted): * There will not be a nurse available after school, in case of an emergency 911 will be called* *

No medical issues

Yes my child has a medical condition (Please describe in next question)

If you answered "Yes"to the last question please describe medical condition.

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