2016-2017 Runner Sign Up Form - We Run Orange County'S Kids printable pdf download

2016-2017 Runner Sign Up Form - We Run Orange County'S Kids

2016-2017 RUNNER SIGN UP FORM

RUNNER INFO

Name (First/Last):

Grade:

DOB:

Gender:

Address:

Home Phone:

Runner's Cell:

*Optional information that provides program statistics* Runner Ethnicity:

Runner Shirt Size (complete all):

If youth size available _______ If unisex adult size available _______ If women size available ______

Primary Contact Name:

Cell:

Email Address:

Secondary Contact Name:

Cell:

Email Address:

Other Emergency Contact #1:

Other Emergency Contact #2:

Doctor's Name: ______________________________ Doctor's Phone:

Health Insurance: _____________________________ Insurance ID Number:

Allergies or known medical conditions:

Volunteers NEEDED:

________ I am able to run/bike with the students

Circle: Mon Tues Thurs

________ I am able to help at after school practice (no running/biking)

Circle: Mon Tues Thurs

________ Recycle Parent (collects all recycling and turns it in, monthly, for cash)

________ Water Station Coordinator (organizes and coordinates water station for OC Marathon)

________ Transportation Coordinator (works with team to arrange carpools to various events)

________ Apparel Coordinator (sorts orders, collects money, delivers apparel)

________ Food Coordinator (organizes snacks and food for various special events)

________ Aid Station Coordinator (organizes and coordinates weekend aid station schedule and supplies)

2016-2017 Runner Sign Up Form - We Run Orange County'S Kids