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100 Mile Club Registration form

100 MILE CLUB REGISTRATION FORM

 Build a child's confidence and health at the same time!
 All Eastvale students, family members, and staff may participate
 Supports character development through John Wooden principals

Participants sign up and pay $10 to be eligible for the awards. Students receive a t-shirt at 25 miles, which is marked again at 50, 75 and 100 miles. A certificate, golden pencil and membership card, wristband, and a medal may be earned as well. Participants walk/run miles at various times at school: before, during and after school. Sticks are given to mark partial miles; miles are recorded by the teacher (students who do not pay the fee may still have a record kept of their miles for personal satisfaction). Volunteers are needed to hand out sticks in order for this to be successful. Sign up below! If you have multiple children signing up, please submit a separate form for each. You may sign yourself up with any child, reporting you miles to that child's teacher. Checks may be written to Eastvale Elementary School.
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100 MILE CLUB REGISTRATION FORM
Student's name__________________________________________________
Grade/Track/Teacher____________________________________________
Circle T-shirt Size YM YL AS AM AL AXL
Additional Family Members and T-shirt Sizes
_____________________________________________________________
Amount enclosed____ ($10 per participant)
___ I am willing to volunteer. Name/Phone Number_______________________
Availability-please circle 8:00AM-8:20AM During lunchtime 3:00PM-3:20PM

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