Dream Run Registration 2015 - David Elementary School

2015 David’s Dream Run
Benefiting The David Center at Texas Children’s Hospital
Saturday, May 9th, 2015 8:00am – 10:00am
Woodforest Bank Stadium in Shenandoah
Arrival Time: 7:30am; 1 Mile (fun run) Start Time: 8:00am; 5K Start Time: 8:30am
Pre-Registration (by May 1st)
Name
T-shirt size
1.
2.
3.
4.
5.
6.
Don’t forget to sign up the entire family to enjoy the Dream Run!
T-shirt sizes:
______ x $15 per person (includes T-shirt)
$
Youth S, M, L
Adult S, M, L, XL,
2XL, 3XL
I cannot attend, please accept my tax deductible
donation in the amount of:
$
TOTAL
$
t-shirt sizes guaranteed with
pre-registration only
No Cash Please – Make checks payable to: David PTO/David’s Dream Run
Return form and payment with your student or mail to:
David Elementary c/o David’s Dream Run
5301 Shadowbend Pl
The Woodlands, TX 77381
281-298-4700
Participant packet pickup is available at David Elementary M-F 8:00 – 3:30 beginning April 18th.
Packets will also be available Race Day at Woodforest Bank Stadium.
For information, please contact Cindy Kupfer at 936-525-7441, davidptodreamrun@gmail.com
or call David Elementary at 281-298-4700
David Elementary families will have their packet sent home with the student indicated below:
Last Name
First Name
Home Phone
Pick up at
Front Office
Pick up on
Race Day
I understand that to participate in this event I must be physically fit and that if I am injured during this event the Conroe
Independent School District, its trustees, employees, and volunteers are not responsible or liable in any way for my injury or any
costs related to my injury.
Signature
**Pets will not be permitted at Woodforest Bank Stadium**
NON-DISCRIMINATION
The Conroe Independent School District (District) as an equal opportunity educational provider and employer does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in educational
programs or activities that it operates or in employment matters. The District is required by Title VI and Title VII of the Civil Rights Act of 1964, as amended, Title IX of the Education Amendments of 1972, the Age
Discrimination Act of 1975, as amended, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, as well as Board policy not to discriminate in such a manner. For information about Title IX rights or
Section 504/ADA rights, contact the Title IX Coordinator or the Section 504/ADA coordinator at 3205 W. Davis, Conroe, Texas 77304; (936) 709-7752.