2021 HEALTHY KIDS FUN RUN
2021 Brazil Rotary Healthy Kids Fun Run
The Brazil Rotary Healthy Kids Fun Run program is for kids 5-12 years of age. The program will last 4 weeks. There will be 8 practice sessions starting at the Forest Park pavilion (cow palace) on Mondays and Thursdays beginning Monday, April 19th and concluding on Thursday, May 13th. These sessions will last about 30 minutes and teach young kids the importance of physical exercise. The practices increase in intensity throughout the four week period. Guest speakers will provide additional encouragement and instruction at each practice. Making all the practices is not mandatory, but we encourage the kids to make as many practices as possible. The practice sessions culminate with a 1-mile event (walking and/or running) on Saturday morning, May 15th at 10:00 AM at Forest Park.
The key emphasis of the Brazil Rotary Healthy Kids Fun Run is healthy fun. Running is an option, but not mandatory. The event is not a race although the kids are encouraged to push themselves to become more physically fit. There is no cost for the program and all kids completing the 1-mile event will be awarded a T-shirt and a participation medallion.
Social distancing will be encouraged, but masks are not required.
Activity Dates:
Monday 4/19 ¼ mi practice 6 PM
Thursday 4/22 ¼ mi practice 6 PM
Monday 4/26 ½ mi practice 6 PM
Thursday 4/29 ½ mi practice 6 PM
Monday 5/3 ¾ mi practice 6 PM
Thursday 5/6 ¾ mi practice 6 PM
Monday 5/10 1.0 mi practice 6 PM
Thursday 5/13 ½ mi practice 6 PM
SATURDAY 5/15 Brazil Rotary Healthy Kids Fun Run 10 AM
2021 PARTICIPATION/PARENT WAIVER:
I, the undersigned, am the parent or legal guardian of the minor whose name appears below. I know that running/walking is a potentially hazardous activity. I know that the minor should not run unless medically able and properly trained. I agree to abide by any decision of the program director relative to the minor’s ability to safely complete the risks associated with running/walking in this program including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road or track. All such risks being known and appreciated by me. Having read this waiver and knowing these facts, on my behalf and on the minor’s behalf, waive and release the Brazil Rotary Club, its officers, directors, agents, employees, sponsors, their representatives and successors from all claims or liabilities of any kind arising out of the minor’s participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I further authorize and empower the program director to consent to and authorize any medical care or treatment for the minor whether occurring before, during, or after the event. I grant permission to all of the foregoing to use any photographs, motion pictures, recording, or any other record of this for any legitimate purpose. I understand that personal music players are not allowed for use in this program, and I will ensure the minor abides by this guideline.
Forms may be turned in at the first practice.
Minor’s Name______________________________ Date of Birth__________________
Minor’s Address_________________________________________________________
Parent or Guardian’s Name___________________________________ Date ________
Parent/Guardian Signature ________________________________________________
Parent/Guardian Address _________________________________________________
Parent/Guardian Phone Numbers: Home ________________ Cell ________________
Work _______________________ e-mail ____________________________________
Emergency Contact Name ________________________________________________
Relationship to minor _______________ Minor’s School ________________________
Emergency Contact Numbers: Home __________________ Cell _________________
Work ______________________
T-shirt size (circle) Adult / Child (circle) S M L XL
For additional information, contact Chris Rodgers, Brazil Rotary Program Director Phone: (765) 714-0373 e-mail: chris@rodgerscpagroup.com
The Brazil Rotary Healthy Kids Fun Run program is for kids 5-12 years of age. The program will last 4 weeks. There will be 8 practice sessions starting at the Forest Park pavilion (cow palace) on Mondays and Thursdays beginning Monday, April 19th and concluding on Thursday, May 13th. These sessions will last about 30 minutes and teach young kids the importance of physical exercise. The practices increase in intensity throughout the four week period. Guest speakers will provide additional encouragement and instruction at each practice. Making all the practices is not mandatory, but we encourage the kids to make as many practices as possible. The practice sessions culminate with a 1-mile event (walking and/or running) on Saturday morning, May 15th at 10:00 AM at Forest Park.
The key emphasis of the Brazil Rotary Healthy Kids Fun Run is healthy fun. Running is an option, but not mandatory. The event is not a race although the kids are encouraged to push themselves to become more physically fit. There is no cost for the program and all kids completing the 1-mile event will be awarded a T-shirt and a participation medallion.
Social distancing will be encouraged, but masks are not required.
Activity Dates:
Monday 4/19 ¼ mi practice 6 PM
Thursday 4/22 ¼ mi practice 6 PM
Monday 4/26 ½ mi practice 6 PM
Thursday 4/29 ½ mi practice 6 PM
Monday 5/3 ¾ mi practice 6 PM
Thursday 5/6 ¾ mi practice 6 PM
Monday 5/10 1.0 mi practice 6 PM
Thursday 5/13 ½ mi practice 6 PM
SATURDAY 5/15 Brazil Rotary Healthy Kids Fun Run 10 AM
2021 PARTICIPATION/PARENT WAIVER:
I, the undersigned, am the parent or legal guardian of the minor whose name appears below. I know that running/walking is a potentially hazardous activity. I know that the minor should not run unless medically able and properly trained. I agree to abide by any decision of the program director relative to the minor’s ability to safely complete the risks associated with running/walking in this program including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road or track. All such risks being known and appreciated by me. Having read this waiver and knowing these facts, on my behalf and on the minor’s behalf, waive and release the Brazil Rotary Club, its officers, directors, agents, employees, sponsors, their representatives and successors from all claims or liabilities of any kind arising out of the minor’s participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I further authorize and empower the program director to consent to and authorize any medical care or treatment for the minor whether occurring before, during, or after the event. I grant permission to all of the foregoing to use any photographs, motion pictures, recording, or any other record of this for any legitimate purpose. I understand that personal music players are not allowed for use in this program, and I will ensure the minor abides by this guideline.
Forms may be turned in at the first practice.
Minor’s Name______________________________ Date of Birth__________________
Minor’s Address_________________________________________________________
Parent or Guardian’s Name___________________________________ Date ________
Parent/Guardian Signature ________________________________________________
Parent/Guardian Address _________________________________________________
Parent/Guardian Phone Numbers: Home ________________ Cell ________________
Work _______________________ e-mail ____________________________________
Emergency Contact Name ________________________________________________
Relationship to minor _______________ Minor’s School ________________________
Emergency Contact Numbers: Home __________________ Cell _________________
Work ______________________
T-shirt size (circle) Adult / Child (circle) S M L XL
For additional information, contact Chris Rodgers, Brazil Rotary Program Director Phone: (765) 714-0373 e-mail: chris@rodgerscpagroup.com