10th Summer Youth Running Program 2015


Sessions run June 30 - July 23, Tuesdays and Thursdays, at the Falmouth High School Track.


Contact Information

Parent/Guardian First Name:
Parent/Guardian Last Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Cell/Other Phone Number:
Email Address:
Confirm Email Address:
Permission and Waiver: I hereby give my below-named child(ren) permission to participate in the Youth Running Program. I absolve the Town of Falmouth and the FALMOUTH TRACK CLUB and all coaches, officials, and other CLUB members from liability and will not hold them responsible for injury incurred to my child(ren), myself, and/or my spouse. This includes, but is not limited to collisions and interactions among children and adults, injuries due to contact with the facilities or equipment, or to weather conditions. I give approval to my family's participation in the Youth Running Program. All participants are in sound medical condition for running activities. I understand that medical insurance is not provided.

I Agree


Child 1

First Name:
Last Name:
Sex: male    female
Birthdate (mm/dd/yyyy):
School:
Grade in September:
Session(s): Session 1 (June 30 & July 2)
Session 2 (July 7 & 9)
Session 3 (July 14 & 16)
Session 4 (July 21 & 23)

Child 2

First Name:
Last Name:
Sex: male    female
Birthdate (mm/dd/yyyy):
School:
Grade in September:
Session(s): Session 1 (June 30 & July 2)
Session 2 (July 7 & 9)
Session 3 (July 14 & 16)
Session 4 (July 21 & 23)


Child 3

First Name:
Last Name:
Sex: male    female
Birthdate (mm/dd/yyyy):
School:
Grade in September:
Session(s): Session 1 (June 30 & July 2)
Session 2 (July 7 & 9)
Session 3 (July 14 & 16)
Session 4 (July 21 & 23)

Child 4

First Name:
Last Name:
Sex: male    female
Birthdate (mm/dd/yyyy):
School:
Grade in September:
Session(s): Session 1 (June 30 & July 2)
Session 2 (July 7 & 9)
Session 3 (July 14 & 16)
Session 4 (July 21 & 23)