KIDS FUN RUN | Calhoun Civic Club

Child's Information

First name

Last name

Birthday

Month

Day

Year

Parent or Guardian Information

Parent or Guardian Name

Phone

Address

Emergency Contact

Emergency Contact Name

Phone

Relationship to Child

Medical Information

Does your child have any medical conditions, allergies, or special accommodations we should know about?

Medical Information

Waiver and Release

I understand that participation in the Calhoun Civic Club Kids Fun Run involves physical activity. I assume all risks associated with participation and release Calhoun Civic Club, volunteers, sponsors, and the West Ouachita Wellness Park from liability for any injury or illness that may occur during the event. I certify that my child is physically able to participate.

I have read and agree to the waiver

Photo Release

Single choice

I give permission for my child's photograph or video to be used by the Calhoun Civic Club for promotional purposes, including social media, website, and future event marketing.

I DO NOT give permission for my child's photograph or video to be used by the Calhoun Civic Club for promotional purposes, including social media, website, and future event marketing.

Event Details

Event location:

West Ouachita Wellness Park

189 Calhoun Loop Road

Calhoun, LA 71225

Saturday, October 31

Kids Fun Run: 9:00 AM

Please arrive no later than 8:45 AM for check-in.