Running Medicine- Fall 2018 Registration- Albuquerque
Welcome to our Fall 2018 season! We are excited to continue to build our Running Medicine family and that you decided to join our family! **Please fill out separate online registrations for each RM participant, ages 0-100! ** Do you want to receive an awesome RM shirt and be eligible to run/walk races this season? The cost is $15, and the completion of this online form. Registration payments will be received before/after practices. [Payments Payable: Cash or Check {Checks payable to: Native Health Initiative}]. Interested in donating to Running Medicine? We would lovingly receive additional tax-deductible donations.
Email address *
Last Name *
Your answer
First Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Age *
Your answer
Prior to Fall 2018 season, how many seasons have you participated with RM? *
Ethnicity/ Tribe(s) *
Your answer
Phone Number *
Your answer
Shirt Size *
Tell us your story! How did you first hear about RM? *
Your answer
What are your goals for RM this season? Give us 1-2 goals for the season. *
Your answer
Each season we have many participants who run their first 1/2 marathon (13.1 miles) ever. Are you interested in walking/running a 1/2 marathon this season? *
Do you plan to race in the USATF Cross Country series this season? (This is open to both youth & adults) *
Last Fall, our Food is Medicine series was created: FM is focused on how and what we eat. Let us know, what you'd like to see this season from FM?
Your answer
Emergency Contact Info (First & Last Name/ Relationship/ Phone Number/ Email) *
Your answer
Do you have any Existing Medical conditions? *
Your answer
List Current Medications (Such as: Albuterol for asthma) *
Your answer
Please Read & Sign the Waiver *
Your answer
*
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service