2ndWind's Pacer SignUp: CCIM Half & Full Training Program
Complete this form to register as a pacer in Second Wind Running Club's Christie Clinic Illinois Marathon Training Program
Email address *
First Name *
Your answer
Last Name *
Your answer
Mobile Telephone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number (with area code) *
Your answer
Emergency Contact Email Address
Your answer
Have you paced before (pick from one below) *
Paces you can pace (please answer for each pace listed) *
Yes
No
Sub 7:00
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
12:00
What is your General Availability (pick from one below) *
Pace the Full or Half Group (pick one from below) *
Are you interested in leading a Run-Walk pace group (pick from one below) *
Are you certified in the following (these are not required, but we like to know if you are): *
Yes
No
CPR Certified
a RRCA Certified Running Coach
What is your preferred shirt size? *
None
S
M
L
XL
Other (please list below under anything else we should know)
Women's
Men's
Anything else we should know?
Your answer
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