Runner Sign Up

Runner Info

Name*

First Last

Grade*

Date of Birth*

Gender*

Ethnicity

Optional information to provide program statistics

Home Phone

Runner's Cell

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Campus Runner will train at:*

pending availability

Youth Size*

Unisex*

Women*

Primary Contact Name*

First Last

Primary Contact Phone*

Primary Contact Email*

Secondary Contact Name*

First Last

Secondary Contact Phone*

Secondary Contact Email

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

I am available to run/bike with students:

I am available to help at after school practice:

Email

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