Waiver 08 09

Cruisin cougar’s mileage club Thurs Oct. 2nd (Program to run MILEAGE CLUB START DATE: DATE Tues/Thurs ams 8-8:20 am at the Smith field throughout the school year.) Last year Smith Student’s walked/ran an amazing 9,303.25 miles from Livermore to Sri Lanka. Can we beat that this year???? Will the 1st graders dominate AGAIN or will another grade? WEBSITE: check out www.geocities.com/smithmileageclub/Home for WEBSITE rainouts, ways to earn miles, monthly updates, forms and Smith PTA fitness program info. Important information: information parent consent/medical form is mandatory before any child is allowed to participate. • For your child’s safety, the program will not take place on rainy days and PLEASE only drop off kids early if they are going to participate. There is NO SUPERVISION provided for kids on the playground. • Incentives to include: foot charms, poster for class with the most miles completed each month and awards for students with most mileage by the end of the school year • Volunteers needed: please contact Mike/Jen Macintire at [email protected] if interested (also don’t forget to offer help to your teachers handing out weekly feet!) •

----------------------------------------------------------------------------------------------------------------cru ruisin ruisin Cougar’s mileage club parental consent/medical release Please sign and return to your child’s teacher. I _____________________ parent of ____________________in ___________________ grade give my child permission to participate in the walking/jogging program and releases Smith School, ESS and the PTA of liability should my child become injured or sick due to participating in the above program. Does your child have any medical conditions that could affect his/her ability to walk/run (i.e. Asthma, diabetes, injury) Yes/No (please circle one) If you answered yes please explain on the line below and include any special needs (inhaler, etc.) ________________________________________________ •

Parent Signature__________________________________