RUNNING FOR RHETT
All sections of this Agreement must be completed, with the signed original delivered to the School Office, before a Student will be allowed to participate in any manner in the Activity defined below.
Please register online and fill out the form below.
Activity/Club/Class/Program Information To Be Completed By The School |
School: ARTHUR C. BUTLER |
Club Name: RUNNING FOR RHETT |
Description/Purpose: Mission: To inspire people to Move Into Life. Nurturing healthy communities through fitness and nutrition |
Timeframe (Circle): After School |
Staff Advisor: STACEY REESE SREESE@egusd.net |
Meeting Day(s)/Time: STARTING OCTOBER 22ND EVERY TUESDAY 2:50-3:30PM (FOR 7 WEEKS) Students will participate in a 5K in downtown Sacramento on December 7, 2024. |
Meeting Location: ARTHUR C BUTLER, Track |
Parent To Complete Section Below |
Name of Student: |
DOB: |
Address: |
Parent Name: |
Parent Phone: |
Parent Email: |
Grade: |
I ALLOW MY STUDENT TO PARTICIPATE IN THE ACTIVITY DESCRIBED ABOVE AT THE TIME/S AND PLACE/S PLANNED. I UNDERSTAND THAT I WILL NEED TO PROVIDE TRANSPORTATION TO OR FROM THE PROGRAM FOR ACTIVITIES TAKING PLACE OUTSIDE THE REGULAR SCHOOL DAY. I, AS A PARENT OR LEGAL GUARDIAN, HAVE THE RIGHT AND AUTHORITY TO GRANT THIS PERMISSION.
Name of Parent/Guardian Signature Date .
Name of Student Signature Date .
REVISED 9-28-2024