Liberty Elementary Running Club, Spring 2019
***Please fill out the information for each child participating, individually***

It's that time of year again! Join the Liberty Elementary PTA on Mondays and Thursdays after school at the Liberty Elementary School baseball field (3:30-4:15) for friendship, fitness, fresh air, and fun! The 8-week program will commence on Monday, April 15, 2019 and will end on May 23, 2019 (excluding April 18 and April 22 for Spring Break.)

If you would like to volunteer, sign up here: https://www.signupgenius.com/go/4090C44A8A62AABFC1-2019

For more information, contact Kristina Nixon, kln77@comcast.net
Email address *
Child's Name (First & Last) *
Your answer
Parent/Guardian Name (First & Last) *
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Parent/Guardian Phone Number *
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Child's Grade *
Child's Teacher *
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Child's T-shirt size *
Does the child have any allergies (food, insects, medicines, etc) or health concerns? If yes, please specify. *
Your answer
Does your child require/carry an EpiPen to use if an allergic reaction occurs? *
Emergency Contact Name & Phone Number *
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What days can this child participate? *
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