Lewis and Clark Cross Country
Grades 2-6 Interest Form-Coaches are needed to make this a go! Please fill out by August 18, 2025.
Runners Name
First Name
Last Name
Grade
2nd
3rd
4th
5th
6th
Gender
Male
Female
Parent Name
First Name
Last Name
Phone
Email
Emergency Contact Name
First Name
Last Name
Relationship to Participant
Emergency Contact Number
Please enter a valid phone number.
Are you willing to help coach?
What is your preferred practice day? (please select 2)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is your preferred practice time?
3:30-5:00 pm
5:00-6:30 pm
10:00am-11:30am (weekends only)
12:00pm-1:30pm (weekends only)
Other
Any Medical Conditions or Allergies
Special Accommodations Needed
Submit
Should be Empty: