Km Club Registration

Thank you for completing this registration form for both the Km Club and Race Team. Please complete all the requested information.  If you have any questions or difficulties, please contact the Km Club Director, Jeanne Gillespie at jeanne@athletesinkind.com.

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* Required information.

School Information
Which School does your child(ren) attend? *
My child will participate in the PME Race Team
Would you like to start a Km Club at your School?

Parental Information
Parent's Name *
Phone Number *
Cell Phone Number
Your Email Address *
I give permission for my child to participate *
Signature Date *
Child's Name *
Child's Age *
T-Shirt 1 * If you do not wish to purchase an official t-shirt, please indicate with "no". If you would like a t-shirt, please indicate the size.
2nd Child's Name
2nd Child's Age
T-Shirt 2
3rd Child's Name
3rd Child's Age
T-Shirt 3

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