Speeding Cheetahs Fall 2022 Youth Registration (Tuesday session)
Dates: Tuesdays starting September 20 for 6 weeks
Time/Location: 6:00pm-6:45pm New Maryland Elementary School soccer field
Cost: $20/participant (e-transfer only to speedingcheetahs@gmail.com) + $5 yearly ANB fee (ANB fee is paid directly to ANB)
Parent/guardian must be present throughout the session
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Email *
Participant's First and Last Name *
Email *
Are there any children you prefer to be in a group with? (groups will be based on age)
Name of parent/guardian attending session *
Phone number *
Participant's Birthdate *
MM
/
DD
/
YYYY
Are you able to volunteer as a group leader? If yes, which group?
Permission to take/post photos on Speeding Cheetahs Facebook page/website? *
Are there any special considerations that the coaches should be aware of? (allergies, medical conditions, etc.) *
T-shirts: Do you need a new t-shirt for your child? (this will help us decide how many shirts we need) *
Waiver: In consideration of the acceptance of my application for registration as a member of the Speeding Cheetahs Run Club, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the New Maryland Run Club and its respective agents, officials, employees, contractors, representatives, successors and assigns of and from all claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my registration as a member of the New Maryland Speeding Cheetahs Run Club. IF THIS WAIVER IS ALTERED YOUR REGISTRATION WILL BE REJECTED. *
A copy of your responses will be emailed to the address you provided.
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