The 39th Annual
LOMA JOGATHON

Parent Permission & Pledge Form

PLEASE SUBMIT ONE PER CHILD

Confirmation / Receipt Emailed Upon Submission

Child First Name

Child Last Name

Child T-shirt Size

Teacher

Parent First name

Parent Last name

Parent Email

Parent Phone

By checking this box, I hereby release all liability and agree to hold harmless the Loma Prieta Home and School Club & Loma Prieta Joint Union School District, its officials, agents and employees, from any claims arising out of my child, self and household's participation in this event. I have read, understand and accept full responsibility in participation.

I will communicate any health concerns about my child's participation to my child's teacher.

Photography - Do you give permission for your child to appear in Jogathon photos and videos?

Yes

Can you make a pledge to support our school?

If YES, select either a flat or per lap pledge

Not sure how much to donate? Consider it costs roughly $40 per child to put on the Jogathon each year, this pays for their t-shirt, medal and event goodies. Any money we raise beyond this amount goes straight back to teachers and programming for your children.

Jogathon Pledge Donation Type

Flat Pledge (Pay Now)

Per Lap Pledge (Invoiced Later)

What Does Your Pledge Support?

The Loma Prieta Home & School Club is the Parent / Teacher Organization for Loma Prieta Elementary school. The Jogathon has been our biggest fundraiser since 1988.

Money raised from the Jogathon funds essential supplies and appreciation events for our incredible teachers, along with enrichment programs for our garden, school-wide family events, and educational programs that support student wellbeing.

The 39th Annual
LOMA JOGATHON

Parent Permission & Pledge Form

Can you make a pledge to support our school?

Lap Goals

Kinder

9-9:30am

- GOAL -

9 laps

1st

9:30-10am

- GOAL -

10 laps

2nd

10-10:30am

- GOAL -

10 laps

3rd

10:30-11am

- GOAL -

11 laps

4th

11-11:30am

- GOAL -

11 laps

5th

11:30-Noon

- GOAL -

12 laps

The 39th Annual LOMA JOGATHON

Parent Permission & Pledge Form

Can you make a pledge to support our school?

Lap Goals

Kinder

9-9:30am

- GOAL -

9 laps

1st

9:30-10am

- GOAL -

10 laps

2nd

10-10:30am

- GOAL -

10 laps

3rd

10:30-11am

- GOAL -

11 laps

4th

11-11:30am

- GOAL -

11 laps

5th

11:30-Noon

- GOAL -

12 laps

The 39th Annual
LOMA JOGATHON