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    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