SJB Walkathon Registration 2017-18
This form is required for each child to participate in the SJB Walkathon. Please fill out the registration form below in its entirety. After registering, your child will need to have a paper copy of the Pledge Tracker in order to properly keep track of pledges. The Pledge Tracker can be downloaded to be printed from the SJB School Athletics webpage:

Event Summary:
* Date: Friday, October 13th
* Time: All volunteers arrive by 8:15am (Please register at the front office and proceed to the gym). Kindergarten thru 3rd Grade will start at 8:45-10:00am (1 lap for Kindergarten, 2 laps for 1st - 3rd grade). 4th Grade thru 8th Grade will begin at 10:15-11:30am (3 laps).

Fundraising Goal: Minimum $20.00 per St. John Brebeuf student
* Incentives:
- $20 minimum: Complimentary Pizza Party in November. Note that regular lunch will not be served, therefore, a
student must bring their own lunch if they did not raise the minimum pledge amount.
- $75 or more: Prize of SJB Walkathon T-Shirt for each student who raises $75.00 or more. They will receive it on the
day of the pizza party.
- $100 or more: Prize of “Open Gym” night party (date TBD) for all students that pledge $100 or more.
- $125 or more: Prize of SJB Hooded Sweatshirt for each student who raises $125 or more. A student will only receive
the sweatshirt and not the t-shirt from the $75 level.
- Top Two Pledges: Prize of $50 gift card each on the day of the pizza party for the top two (2) students who raised the
most money. They will also be recognized on our LED sign the entire month of November.

Pledge Tracking and Collection:
The package of filled out Pledge Tracker form and all of the money are due on the day of the event (Friday, October 13th). Students are to submit the pledge package to their teacher. A representative from the SJB Athletic Board will collect all of the packages from all of the teachers.

Thank you for your participation in this fun and worthwhile event that benefits the entire SJB school!

Student First Name *
Your answer
Student Last Name *
Your answer
Grade Level *
Room Number *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
I understand that the St. John Brebeuf student activity, Walkathon, will be held on Friday, October 13th. I understand that St. John Brebeuf will provide supervision for my child throughout the walk. I hearby give my child permission to participate in accordance with all the rules set for by St. John Brebeuf. *
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