Jackson Running Club Spring 2019 Sign Up

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Email *

First and Last Name of participant #1 *

Grade *

First and Last Name of participant #2

Grade

First and Last Name of participant #3

Grade

First and Last Name of participant #4

Grade

First and Last Name of participant #5

Grade

Parent #1 Name (1st and last) *

Parent #1 Cell Phone *

Parent #2 Name (1st and last)

Parent #2 Cell Phone

Parent #2 email

Does your child have any dietary considerations? *

Does your child have any allergies? *

Does your child have any fears or special needs Running Club should be aware of to help support your child? *

Name of alternate adult able to pick up child in the event parent is unavailable. *

Cell Phone of alternate adult *

Email of alternate adult

After running club my child will *

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