Sycamore Canyon's 2018/2019 Middle School 5K Registration Form
IMPORTANT: Read below before filling out this registration form!


The Sycamore Canyon Middle School Physical Education Department, ASB, & PTSA proudly present Second Annual Sycamore Canyon Middle School 5K Walk/Jog/Run. The purpose of the 5K is to promote fitness, wellness, and healthy lifestyle. The Sycamore Canyon Middle School 5K is the largest Middle School student-centered activity on campus and the big day is coming up fast! This year, hundreds of individuals will participate, from the students that run, to the parents and community organizations that volunteer, to the hardworking Sycamore staff. Each student that completes the run will earn a 5K t-shirt that they may wear with pride during physical education class. Thank you to Victory Gymnastics for being our sponsor!!!
If a student is sick on the day of the 5K, a make-up 5K will be offered so a student can earn a 5K t-shirt. Students will only earn a shirt by completing the 5K.


Date: Friday, November 16, 2018 from 11:00 a.m. – 12:22 p.m.
• This is a minimum schedule day for Middle School with dismissal at 12:22 p.m. All students who do not participate will remain on campus, completing a work packet in a classroom until dismissal.
Location: The 5K course will be run on residential streets surrounding Sycamore Canyon School. A course map can be viewed here https://www.scribblemaps.com/create/#id=qlWXa_CdL5

Registration
• The deadline to complete this online registration by 4:00 p.m. on Friday, October 19, 2018.

Donation
How can YOU help our event be great?
• We are asking a suggested registration donation of $20, however any amount is appreciated. Please see the donation link below. Your donation helps us cover the cost of:
o 5K t-shirts
o Water
o Course Materials
o Event Permit
o Race Numbers Bibs
• Time donations on the day of the event. There will be many different jobs throughout the day of the 5K. Volunteer opportunities will listed shortly with an online sign up.

Please make sure to click SUBMIT at the bottom of this page once done filling in all of the information. Once you submit this registration, an email will be sent to the email address you enter below. If you DO NOT get an email confirmation please email dhedin@conejousd.org. Thank you so much for your participation and support!

Email address *
Student's LAST Name *
Your answer
Student's FIRST Name *
Your answer
Student's Grade *
Student's PE Teacher *
Student's Homeroom Teacher *
Your answer
T-Shirt Size (you will only earn a t-shirt for participating in, and finishing the 5k run) *
Would you like to donate to the 5K?
If yes, a suggested donation of $20 will help to offset the cost of the event. You may send cash or check (made out to Sycamore Canyon School PTSA) with your student to give to their Physical Education teacher OR you can click here http://goo.gl/HTFoJy to make an online donation.
*
PARENT/GUARDIAN, please type your Full Name in the box below to grant your child permission.
By typing your name you are giving permission to your above son/daughter to participate in the Sycamore 5k Run November 16, 2018. I understand that the course will require students to leave the Sycamore campus. Typing my full name indicates that I not only give permission but also that I know of no medical reason which would prevent my child from participating safely.
Full Name (Parent) *
Your answer
Parent Volunteers: Please click the following link for a list of available volunteer opportunities. http://signup.com/go/GBoOmKb
A copy of your responses will be emailed to the address you provided.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Conejo Valley Unified School District. Report Abuse - Terms of Service