The Mustang Stampede Activity Information
The Mustang Stampede is Simpson’s Running Club that is open to students of all abilities. Join our club to improve your sports performance or train to run a 5k. The club is managed by Susan DaSilva, school psychologist, Michele Malloy, teaching assistant, and Amy Perkins, an assistant track/cross country coach at LCHS. Parents and teachers may sign up to help on our website, which is found by clicking the activities link on the Simpson home page (
The club meets after school on Tuesdays and Wednesdays until 4:30 pm. Students may ride the activity bus home. There will be two 12-week sessions, fall and spring. The fall session begins on Sep. 20, 2016. Although the activity is free, we may ask that parents supply water and snacks throughout the year.
Expectations:
- Students will bring appropriate clothing for the weather to run outdoors.
- Phones/devices are permitted for listening to music or tracking during runs. No movies, Pokemon Go, video games etc. will be permitted. Students are responsible for their own devices.
- Bring a water bottle and/or snack if needed.
- After warm-up, students will run on and off campus with adults, and they are expected to stay with the group.
- Students will need to stay with the club until the activity bell rings at 4:30 pm, unless we receive a note from home.
Please complete the permission form and waiver. Students should return forms to their house office.
Running Club Program Waiver
I, the undersigned, am the parent or legal guardian of the minor child whose name appears below. I know that running is a potentially hazardous activity. I know that the minor child should not run unless medically able. I agree to abide by any decision of the program sponsor relative to the minor child’s ability to safely complete the risks associated with running 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 the minor child’s behalf, waive and release the JLS running club or Loudoun County Public Schools, it’s 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 sponsor/monitor to consent to and authorize any medical care or treatment for the minor that may appear reasonably necessary as a result of emergency, accident or illness of the minor whether occurring before, during or after the event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this for any legitimate purpose.
Student’s Name:______
Student’s Grade Level:______Student’s Date of Birth: ______
Parent/Guardian’s Name:______
Parent’s phone: ______Parent’s email: ______
Parent/Guardian’s Signature:______Date:______