Laps for Learning Registration

Fields marked with a * are required.

I give permission for my child/children to participate in Olde Creek Elementary School Laps for Learning Event.

Emergency Information: In case of emergency, please contact:

Please enter additional children names.

Enter a child's name, teacher's name, grade, and shirt size. Please specify youth (YXS - YXL) or adult sizes (AS to A4XL). One entry per line.
Regarding payment for t-shirts, the first two shirts per family cost $30 each and each additional shirt is $10 each. Parents are welcome to purchase shirts.

Waiver:  In consideration of the acceptance of this Laps for Learning entry, I release and discharge the Olde Creek PTA, its Board Members, and all sponsors, coordinators, and volunteers of this event from any and all claims arising from said event. I certify that I understand the potential risks involved in participating in this event, including falls, contact with other participants, the effects of weather, traffic and conditions of the road surface.  I, and the participants listed on this participation form, are physically fit to participate in this event. I also release publishing rights of photographs of me and the participants listed herein taken during Laps for Learning for legitimate purposes, such as the Olde Creek website.