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Permission/Information form

Natcher Running Club

 

Name

 

Grade/ Teacher

 

Parents

 

Home Phone

 

Cell Phone

 

Cell Phone

 

E-Mail

 

Emergency Contacts

 

I  _______________________________________ give permission for ___________________________

to participate in Running Club. There is no known reason why my child nay not participate. I understand that my personal insurance will be responsible for injuries that might occur in the participation of this running club, and allow for minor first aid care to be administered.

Parent signature__________________________________________