KM Club Sign-up Runner's Name(Required) First Last Runner's Grade(Required)KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Runner's Teacher(Required)Ghanem/ShengSqueo/MarandoLeporeSchmidtCharpentierCeronSimisterJamesParkinsonRosuCroweSmith/HowellKehleMenardLougheedSigismundMedical ConcernsDoes the runner have any medical concerns or issues? If so, list them in this boxParent/Guardian Contact InformationPlease list the the runner's parent/guardian contact information (name / contact phone number / email)Parent/Guardian Contact Name(Required) First Last Parent/Guardian Contact Phone Number(Required)Parent/Guardian Email(Required) KM Club Participation(Required) I consent to my child participating in the Porter KM ClubI consent and give permission to my child to participate in the Porter KM Club and abide by the rules of the club and the code of conductOptional PermissionsRunner's Name on Hallway Bulletin Board I consent to placing my child's name on bulletin board in the school hallwayI consent and give permission to the KM Club to place my child's name on bulletin board in the school hallwayParent/Guardian Volunteering I am interested in volunteeringI am interested in volunteering for the KM Club and consent to receiving an email from the Porter Street PAC and KM Club Coordinator
