T-Shirt Health

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Brillion Elementary Running Club

RETURN THIS FORM By March 25th

T-SHIRTS
In order to increase the safety of our runners, we will be ordering brightly colored T-Shirts ($6 each) to help identify who
is in our club and make our young runners more visible to traffic. On race day, we can look united as we run through
LAMBEAU FIELD! T-shirts are HIGHLY recommended, but not required. Shirts are the same design as the past.
I would like to order
In the following size(s):
PLEASE CIRCLE:

shirt(s) for $6 each. I have enclosed the following amount $


Youth:
Adult: S

S
M

M
L

L
XL

XXL

Please enclose money in an envelope labeled: Luv2Run T-shirt and your childs name
Checks can be made out to Brillion

Elementary PTO

_________________________________________________________________________________________________

Parent Volunteers Needed


I would love to help at some of the sessions as a Parent Volunteer! Here are the dates I will be there
Week 1:
Week 2:
Week 3:
Week 4:
Week 5:
Week 6:

Tuesday
Tuesday
Tuesday
Tuesday
Tuesday
Tuesday

4-7-15 / Thursday 4-9-15


Please circle date you are
4-14-15 / Thursday 4-16-15
available to volunteer
4-21-15 / Thursday 4-23-15
4-28-15 / Thursday 4-30-15
5-5-15 / Thursday 5-7-15
5-12-15 (3:30-4:30) / Thursday 5-14-15 (Spaghetti dinner to follow-info by email)

I would like to use my skills in the following ways (check any that apply):
Drink /Snack Table coordinator --set-up and supervise the Gatorade and snacks for the end of practice.
Gym supervisor -- help maintain safe and appropriate behaviors in the gym.
Traffic control -- help supervise intersections needing to be crossed.
Parent Runner -- we will need lead runners for the faster pace.
Parent Walker -- some students may need/want to walk, so we would like an adult with them.
Parent Biker -- ride up and down the routes to make sure there are no issues or needs of other
adults/students.

I would love to help out in some other way:


Provide Healthy snacks quantity

of 25 or more (Examples: high protein is best: granola bars,


string cheese, Go-gurt, peanut butter cracker sandwich,
Cheez-its, protein bars, Ritz Bits, pre-cut fruit, etc)

Cash or check donation to put towards program needs. Please enclose money in an envelope labeled:
Luv2Run DONATION and your childs name

Checks can be made out to Brillion

Elementary PTO

Brillion Elementary Running Club

Safety
For your childs safety, we would like to be aware of how students are getting home after practice. This form tells us
that your child: 1) has your permission to leave the gym and meet up with you at your designated area 2)be picked up by
someone else, or 3) walk home. Please fill out the next portion of this form. We respect that everyones time is
valuable including our own. By participating in Luv2Run, you are making a commitment to being on time and
responsible for communicating to your child what the post-practice plan is for getting home.

The Luv2Run training program will take place after school from 3:05- 4:00pm
Tuesdays and Thursdays starting Tuesday, April 7th in the Multi-Purpose Gym.
I give permission for my child, ________________________________________ to
(Childs Name Printed)
Walk home after Running Club practice
Leave the Multi-Purpose Gym to meet me in the back of school to ride home
I will pick my child up from the Multi-Purpose Gym
Go home with ____________________________________________
(Adults Name Printed & cell phone number)

_________________________________
(Parent Signature)

Date:________________

Health Information
For your childs health safety, we would like to be aware of any health issues. If there are any concerns, please
list them below with some basic information to assist us in keeping your child safe. (ex. asthma- My child
may need to use his/her inhaler)
My childs health concerns include:
_______________________________________________________________________________________

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

RETURN THIS FORM by March 25th

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