GBE Run Club - Spring 2025 Registration
Sign up to be part of GBE Run Club, held on Fridays at 8:30am!
Student Information
Student Name
*
First Name
Last Name
Grade
*
Please Select
K
1
2
3
4
5
6
Teacher Name
*
Does your student attend morning SACC on Fridays?
*
Please Select
No
Yes
List any allergies below and state if student has an EpiPen.
Any additional information about your student that we should be aware of?
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian E-mail
*
example@example.com
Parent/Guardian Primary Number
*
Parent/Guardian Secondary Number
Relationship to Student
*
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Email
*
example@example.com
Emergency Contact Primary Number
*
Please enter a valid phone number.
Emergency Contact Alternate Number
Please enter a valid phone number.
Emergency Contact Relationship to Student
*
Signature
RELEASE WAIVER: In consideration of this waiver being accepted, I hereby release and discharge any and all rights and claims for damages which I or my child may have against the sponsors, organizers, and volunteers of the GBE Run Club for any injuries of any kind that I or my child may incur as a result of participation in the GBE Run Club. I understand that participation in an activity like the GBE Run Club involves the risk of physical injury and state that my child (or I am) is physically able to participate in this event. I understand that it will be my responsibility to pay for any emergency services that my child or I might require during participation in the GBE Run Club. I further understand that the GBE Run Club is sponsored by Greenbriar East Elementary and agree that it shall have no liability of any kind in relation to me, or my child’s participation in the GBE Run Club.
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Submit
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