Couch to 5K
Training for September 9th: The Potato Stomp!
Couch to 5K and 9 mile Program:
June 13th – September 7th
Every Tuesday and Thursday @ 5:30 – 6:30PM
ARHS; 4707 Mill St. Mantua, OH 44255
Please fill out one form for each individual!
Please feel free to contact us with questions!
***All information is sent directly and securely to our office.
Name *
Your answer
Age *
Your answer
Email *
Your answer
Credit Card Number *
Your answer
Expiration Date *
Your answer
Billing Zip Code *
Your answer
I agree to Advanced Rehab's 5K Waiver *
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Electronic Signature *
Your answer
Parent/Guardian Electronic Signature if participant under 18 years of age
Your answer
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