2021 Tamalpa Bobcats Registration Form

Step 1 of 3: Submit

Registration Details: The Tamalpa Bobcats would like to run a 4 week cross country series at San Geronimo Golf Course for young runners age 8 to 13. Athletes will run 2-5 miles over the course of an hour and learn how to stretch, warm up, and complete workouts. This short season will be limited to 35 runners per session. All coaches and volunteers will be vaccinated. For more information contact Mary Churchill at marymfagan@gmail.com

First and Last Name of Athlete

Gender of Athlete Male Female

Age of Athlete Birthdate of Athlete

Tshirt Size YXS (4) YS (6) YM (8-10) YL (12-14)

Optional for kids: China Camp Trail 5k - Sat. May 23rd - Does your runner want to train and run this? Check Yes, if you are free and want to take your child to this race? First and Last Name of Second Athlete

Gender of Athlete Male Female

Age of Athlete Birthdate of Athlete

T-shirt size YXS (4) YS (6) YM (8-10) YL (12-14)

First and Last Name of Third Athlete

Gender of Athlete Male Female

Age of Athlete Birthdate of Athlete

T-shirt Size YXS (4) YS (6) YM (8-10) YL (12-14)

First and Last Name of Fourth Athlete

Gender of Athlete Male Female

Age of Athlete Birthdate of Athlete

T-shirt Size XS (4) S (6) M (8) L (10) XL (12)

Parent Names

Are you a member of the Tamalpa Running Club? Yes No

Would you like us to email you more information about becoming a member of the Tamalpa Running Club? Yes No

Email Primary Cell Phone of Parent List Children & Any Medical Conditions or allergies (if none, put N/A next to child's name) Insurance Carrier/Plan Name Name of Insured Relationship to Parent Preferred Hospital Provider Physician's Name Dentist's Name Emergency Contact Name 1 Emergency Contact 1 phone number Emergency Contact Relationship to Participant Emergency Contact Name 2 Emergency Contact 2 phone number Emergency Contact 2 Relationship to Participant

Registration Fee 1 Athlete ($100 USD) 2. Family ($150 USD) Financial Aid ($0 USD)