The Patch Sprint

Patch Sprint "Kindersprint" Registration Form

Note to registrants: We have kept the registration fee VERY LOW and ELIMINATED LODGING FEES so that participants will consider giving a donation to the ADK Scholarship Foundation. In return for all the meals, parties, aid station support, T-shirts, awards, and fun you get during Patch Sprint Weekend, please consider giving a tax deductible donation to the ADK Scholarship Foundation.

Kindersprinter Information
Please submit a separate form for each registrant. If address, email, & phone is the same for multiple registrants, just indicate "same as [your name]" in "street address" field.
Division
First Name
Last Name
Street Address
City
State
Zip
Age on Race Day
T-Shirt Size	**Please Note: T-shirt not guaranteed if registered after May 1st

Chaperone Information (Parents / chaperones are responsible for their kindersprinters. The Patch Sprint does NOT provide chaperones for the Kindersprint event. If no chaperone is identified yet, please give contact information for a parent/guardian).
Chaperone Name
Chaperone Email
Chaperone Phone	xxx-xxx-xxxx
Chaperone T-Shirt Size (if applicable)	**Please Note: T-shirt not guaranteed if registered after May 1st

Participant Start Time
	11:00 Start - For Kinder Sprint (age 10 and younger, accompanied by a chaperone). Kindersprint starts at the base of Pok-O-Moonshine

Fee (select only one)
	$10 - Includes T-shirt and post-race party for kindersprinter only
	$25 - Includes T-shirt and all meals for kindersprinter and one chaperone

Lodging Information
	I will not need lodging
	I would like to lodge at camp (free!)

Adirondack Scholarship Donation
In a nutshell, the Adirondack Scholarship Foundation helps send kids to summer camp who cannot otherwise afford it. Raising funds for the Adirondack Scholarship is central to the mission of the Patch Sprint.
	The Bare Club ($5 - $10)
	The Rattlesnake Club ($11-$20)
	The Sugarloaf Club ($21-$30)
	The Pok-O-Moonshine Club ($31-$45)
	The Patch Sprint Club ($46+)

Dinners & Parties RSVP
Do you plan on attending the Race Expo / Carbo Load Dinner on Friday, May 28 @ 6:30pm?		Yes	No
Do you plan on attending the pre-race breakfast on Saturday, May 29 from 7:00 - 8:30am?		Yes	No
Do you plan on attending the Post-Race Party / Dinner on Saturday, May 29 @ 6:00pm?		Yes	No

Event Support
Sometimes we ask some of our chaperones for extra help around meal time. Please indicate below if you would be interested in helping out in any way. There is no obligation.
	Carbo Load Dinner - Friday night: (meal prep, table set-up, or clean-up)
	Pre-race Breakfast - Saturday morning (meal prep, table set-up, or clean-up)
	Post-race Dinner - Saturday night (meal prep, table set-up, or clean-up)
	No thanks.

Pok-O-MacCready Memorial Day Work Weekend
Patch Sprint Weekend provides a great opportunity for camp alumni and friends to help pitch in to get Pok-O-MacCready ready for the summer season. Pok-O-MacCready helps to make the Patch Sprint a great success, so any help we can provide to them would be greatly appreciated. Pok-O can really use our help on Sunday, the day after the Patch Sprint.

Yes, I am interested in helping out on Sunday for approximately:
1 Hour
2 Hours
3 Hours
4 Hours
5+ Hours
Can't commit to anything just yet, but thank you for asking

Comments, Questions, Concerns