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  • 2013 Walkathon Permission Slip and Volunteer Form

    Required for all students.
  • The child named above has my permission to participate in the PTA sponsored event, The Hillcrest Walkathon and Carnival,  an event sponsored by the Hillcrest PTA, on Saturday, April 20, 2013 from 9:00 a.m. – 3:00 p.m. at Hillcrest School.  The undersigned parent or guardian assumes all risk in connection with the student’s participation.  I hereby release and discharge the California State PTA, the Hillcrest PTA,  all PTA officers, employees and agents from all liability, claims or demands for any damages, loss of injury to the student, the student’s property, or parent’s property in connection with participation in the activity, unless caused by the sole negligence of the PTA.

    I do hereby certify that to the best of my knowledge and belief that said minor is in good health and is fit enough to walk laps around the school property. I will ensure my child stays hydrated during the walk, walks no more than is consistent with his/her abilities and takes necessary breaks. I hold myself responsible for his/her health and wellbeing.  In case of illness or accident, permission is granted for emergency treatment to be administered.  It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs. Water will be available to the children.

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  • Date submitted*
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  • Volunteer Sign-Up

  • Please mark the times for which you are able to volunteer on the day of the walkathon. If you are able to work more than one time slot, please let us know in the comment section.  You may also indicate a job preference in the comment section.

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  • Shifts Available:
  • Are you a medical professional or EMT able to do First Aid if necessary?
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  • Shifts Available:
  • Are you a medical professional or EMT able to do First Aid if necessary?
  • Can we borrow your . . . ?

  • We will contact you to arrange pickup of your item(s).  Thank you!

  • Should be Empty: