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
Format: (000) 000-0000.
Email
Emergency Contact Name
First Name
Last Name
Relationship to Participant
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
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: