Running Medicine Fall 2021 Registration
Running Medicine (RM) is based on the understanding that running and exercise is a beautiful and potent medicine for mind, body, and spirit. Formed as a program of the Native Health Initiative; our vision is to create a culture of wellness through Support, Love, and Community.

Welcome to the fall 2021 season of Running Medicine, Zuni Pueblo!! We will meet in October for 4 weeks, twice a week, at 5:30pm utilizing the various community trails. Runners & walkers of all ages and abilities are welcome. Please fill out the information below and join us on October 4th at Dowa Yalanne at 5:30pm to kick off the season! (Masks & temperature checks will be required for participation).
Sign in to Google to save your progress. Learn more
Name *
Age *
Cell phone number *
Email *
Mailing address *
Shirt Size *
Shoe Size *
I agree that I am a member of Running Medicine, and I know that running in, walking in, and volunteering for organized group runs, walks, social events, and races with this club are potentially hazardous activities, which could cause injury or death. I will not participate in any club organized events, group training runs or walks, or social events, unless I am medically able and properly trained and by my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained. I agree to abide by all rules established by the club including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the club and agree to abide by them. I assume all risks associated with being a member of this club and participating in club activities which may include falls, contact with other participants, the effect of the weather, including high heat and/or humidity, traffic and the conditions of the road, with all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates, or roller blades, animals, and personal music players are not allowed to be used in club organized activities and I agree to abide by this rule. Having read this waiver and knowing these facts and in consideration of your accepting my membership. I, for myself and anyone entitled to act on my behalf, waive and release Running Medicine – Zuni Pueblo, the Pueblo of Zuni, and the Native Health Initiative, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation with the club, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all the foregoing to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the club. Please type name below to sign this waiver. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Zuni Youth Enrichment Project. Report Abuse