TMPTA Marathon Club Form
TMPTA Marathon Club 2023-2024

Please fill out one form for each student.
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Student Last Name
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Student First Name
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Grade
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Teacher
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T-Shirt Size
(Note that we will size up if a particular size is not available by our supplier).
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Guardian Name
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Guardian E-mail
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Guardian Phone Number
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Will your child be participating in the Final Mile on 5/4/24?
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Are you able to volunteer for the Marathon Club?
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Are you able to volunteer for the Final Mile Event on 5/4/24?
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Do you agree to the following waiver:
By submitting this form, the parent(s) or guardian(s) assume all risks in connection with the participation of all individuals listed above in the Trabuco Mesa PTA Marathon Club.  You attest and verify that all individuals listed on this form are physically fit and able to participate in the Marathon Club.  Further, you acknowledge that is it your responsibility to understand any inherent risks associated with this activity. 

By submitting this form, I do hereby certify that to the best of my knowledge and belief all individuals named above are in good health. In the event that I, or other parent/guardian, cannot be reached in an emergency, I hereby give permission to secure proper treatment for my child(ren). I/we do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon or dentist and performed by or under the supervision of the medical staff of the hospital or facility furnishing medical or dental services. It is further understood that the undersigned will assume full responsibility for any such action, including payment of costs.

I/we, as parent(s) or guardian(s) of the minor(s), do hereby, for my child/children, myself, my heirs, executors and administrators, release and forever discharge and hold harmless the California State PTA, the local PTA and all officers, directors, employees, agents and volunteers of the organizations, acting officially or otherwise, from any and all claims, demands, actions or causes of action which in any way arise from the participation of any individuals listed above in this activity. Note that employees of SVUSD may or not be present at the practices and/or the Final Mile event.

By submitting this form, I confirm that I have carefully read and fully understand its contents. I am aware that this is a release of liability and signed it of my own free will.
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