Powder Run & Run/Walk Club Registration
This Spring there will be an after-school running and walking club offered to students in 1st-4th Grade.  Students  in PK & Kindergarten can participate if accompanied by a parent or older sibling.  The emphasis of this program will be to encourage physical activity with peers and developing a healthy lifestyle.  Run & Walk Club will be on Mondays (4/27, 5/4, 5/11, 5/18, 6/1) from 2:35-4:00.   Powder Run will be Thursday June 4th After School until 4pm. The cost of the Run/Walk Club is $50 which includes the Powder Run.
 

Sign in to Google to save your progress. Learn more
Run Club is Full Sorry :(
Parent Name (First) *
Parent Name (Last): *
What are you Registering for? *
Please make check payable to RES attn Run Club
All proceeds from Run & Walk Club/Powder Run will go to help classroom teachers buy supplies for next school year.

Student Name #1 *
Student Name #2
Parent Contact Info (Cell Phone) *
Email *
Pick-up After Run Club *
T-Shirt Size
Adults/older siblings are welcome to run in Powder Run. If you would like a t-shirt, just send in extra $5. Adult sizes run on the big side!  
Would you like to get your daily exercise in while enjoying some quality time with your kids?  
Mr. G needs some volunteers to help make Run Club both Fun & Safe for everyone.
Volunteer *
Run Club will begin at 2:35 and end at 4:00
Days I can Volunteer
Please say either All Days or choose the days you can make it 4/27, 5/4, 5/11, 5/18, 6/1
I give my permission for my child to participate in this activity on and off school property (around the town of Richmond). *
My child has asthma and has permission to self-medicate with an adult present at the start of the activity.  The inhaler will be in his/her backpack. The nurse’s office is closed after school and I understand that there will be no nurse present.
Clear selection
Does your child have any allergies or medical needs that we should know about?
Mr. G is happy to give out scholarships!  Please Email brian.godfrey@mmuusd.org for questions.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MMUUSD.

Does this form look suspicious? Report