Request edit access
Dtown Runners (Running Club)
Whether you are an experienced runner (eStem Elite) or haven't gotten up off of the couch yet (The Pacemakers), this is the club for you! Join Coach McBride and Mr. Ryan twice a week, Mondays & Wednesdays, from 3:30-4:30 as we head to the River Trail. Open registration will be from Friday, February 1, 2019 - Friday, March 1, 2019, The first meetup will be Wednesday, March 6, 2019. Any and all suggestions would be great!

Please read this form carefully and have a parent answer all questions in order to participate in this awesome exercise opportunity! Also parents, if you are interested in getting off of that couch ... we would love to have you join us too!!

First and Last Name of Participant *
Your answer
Grade and Home Room Teacher of Participant *
Your answer
Permission to Run the River Trails *
The Running Club will be leaving eStem schools and walking together to the River Trail (our warm-up). Once at the River Trail, students will be running, jogging, or walking a specified path of the River Trail. Students will then group back up to walk back together to eStem (our cool down). Mr. Looney and Ms. Phillips will accompany the students through this process as well as any parent volunteers.
Electronics *
Students will be allowed to bring electronics with them to listen to music while running the River Trail. For safety purposes, students are NOT allowed to listen to music or be on devices while walking to and from the River Trail.
Permission to Photograph *
The running club will sometimes take a break along the trail and take some cool selfies, please indicate whether or not you give your student permission to be in pictures that may be in either the yearbook, website, or facebook.
Student Pick Up
Students will return to the school by 4:30pm at which time you will be able to pick them up. You are responsible for following the eStem dismissal policy, and if students are not picked up by 4:45pm fees may be applied.
Physician's Permission *
Before beginning any exercise program, you should consult with your physician to ensure that your child is healthy enough to participate.
Risk of Injury *
As with any exercise program, there is always a risk of injury.
Emergency Treatment *
Parent Signature
Please type your name below in place of your digital signature.
Your answer
Parent Phone Number
Please provide the phone numbers for each parent or guardian that we should contact in case of an emergency.
Your answer
Parent Volunteers
Please submit names of any parents or guardians who may be interested in volunteering. We greatly appreciate our volunteers!!!
Your answer
Never submit passwords through Google Forms.
This form was created inside of eStem Public Charter Schools. Report Abuse - Terms of Service