Sign up Sheet
September 25-26
All athletes who have paid their 2015 team dues are invited to attend the team trip to the Gulf Coast Stampede Pensacola, Fl. All athletes who would like to attend should submit their $150payment for the trip via check payable to Pope XCT Booster Club should be mailed with completed Registration Form and Cobb County Form “Permission to Participate in Overnight Trips”
Attending this team trip is a reward for your hard work this season!!!!!!
Schedule of Events: Friday
9:00Depart PHS
12:30Stop for lunch at Subway etc. (bring $$)
4-5Run course
5:15Arrive hotel
5:45Depart hotel
6:00Dinner and lasertag or go-kartsrace headquarters dinner & social
8:20Guest speaker Jordan McNamara, Olympic hopeful
9:15Return to hotel
10:00All athletes in rooms
10:15Lights out
Saturday 9/26
6:15Wakeup breakfast @ the hotel
6:45All athletes depart hotel
7:30College Men 8k
8:00College Women 5k
8:30Girls Varsity Race (10 Runners Max., 5 for team score)
9:00 Boys Varsity Race (10 Runners Max, 5 for team score)
9:30HS Boys JV Race 5k (Unlimited Entries, 5 for team score)
10:10HS Girls JV Race (Unlimited Entries, 5 for team score)
10:10Dance Competition
10:45Awards Ceremony
11:15Depart meet for the BEACH!!
12:30Stop for lunch at Subway etc. (bring $)
1:00-3:00BEACH time
9:30-10Arrive @ PHS
Registration Form for Pope Cross Country Team Trip
Friday, September 25- Saturday, September 26, 2015
Cost $150
Full Payment due by Friday, September 18, 2015
Attendance limited to 50 athletes
Athlete Name______Date______
Home address______
City______State______Zip______
Home Phone______Parent’s cell phone______
Parents’ names______
Name of emergency Contact______
Emergency contact phone______
Name of Athlete’s Insurance Company ______
Name of Insured ______
Policy/Group Number ______
Trip Cost $150
Fee covers meet registration, bus transportation, 1 night hotel stay, two meals (Fri dinner & Sat breakfast). Athletes are responsible for all other meals and incidentals. 2014 cross country registration fee must be fully paid for athlete to be eligible to attend.
Payment is non-refundable and due by September 18, 2015.
Make $150check payable to Pope XCT Booster Club and mail with completedRegistration Form and Cobb County Form “Permission to Participate in Overnight Trips”
Send payment and completed forms by September 18th to:
Pope XCT Booster Club
3912 Brintons Mill
Marietta, GA 30062
CobbCounty does not allow coaches to collect money from athletes.
Additional meet info:
CobbCountySchool DistrictForm IFCB-6
A community with a passion for learning!
Student’s Name: (PLEASE PRINT):
This permission form has been signed only after understanding and considering the following:
1. Trip Planned: Departing Pope High School on Fri, September 25, 2014 at 9:00am, arriving in Pensacola, Fl at 4pm, and returning from Pensacola, Fl on Sat, September 26, 2015 at 3pm arriving at Pope High School at 10pm.
2. Purposes of Trip: Gulf Coast Stampede - Cross Country Race
3. Supervision: 4 Teachers/Coaches
4. Transportation: Charter Bus
5. Requirements: Must be a current member in good standing of the Pope High School 2015 Cross Country team.
6. Expectations and Instructions: I understand the above expectations/special instructions and acknowledge that my child is expected to comply with them. Further, I have instructed my child to comply with them as well as other directions given by trip supervisors.
7. Insurance: I understand that the CobbCountySchool District (District) does not or may not carry any insurance relative to the trip, including the cost of the trip, or for injuries to the student. I represent that the student has insurance either through the student accident insurance offered by the District or through my own insurance carrier.
I (Parent/Guardian Name-PLEASE PRINT): acknowledge thatparticipation in the field trip described above is not mandatory and that a quality alternative instructional experience will be provided to those students choosing not to participate. I request that the above-named student be allowed to participate in the trip planned and specifically consent to his/her participation.
If any emergency medical procedures or treatment are required during the trip, I consent to the trip supervisors(s) taking, arranging for or consenting to the procedures or treatment in his/her or their discretion.
I agree to release, indemnify, and hold harmless the Cobb County School District (District), its Board of Education, and its employees, agents, or assignees, as well as its approved adult trip supervisors (“District Indemnitees”) from and forever promise not to sue them on any and all claims, demands, rights, causes of action, liabilities, losses, damages, costs and expenses (including reasonable attorneys’ fees), whether known or unknown, that I, any other parent or guardian of the above-named student, or the student may have or may allege to have against the District Indemnitees or which may be brought against the District Indemnitees arising out of or in any manner relating to the student’s participation in the field trip, including but not limited to the rendering of emergency medical procedures or treatment.
NOTE: This form must be signed by student if the student is 18 years of age or older.
______
Name of Student (PLEASE PRINT) Signature of Student Date
______
Name of Parent/Guardian (PLEASE PRINT)Signature of Parent/Guardian Date
Home Address:
Telephone: Home: ______Cell: W______