2019 Beyond Fit x Running Club Registration and Waiver
The waiver and registration form for the 2019 Beyond Fit x Running Club. It begins Tuesday, June 25th and runs every Tuesday and Thursday from 5:30pm-6:30 pm at Lawrence High School's track. Anyone in grades 6-12 are welcome to come and run! The goal is to complete a 5k by the end of the program.
Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Gender *
Date of Birth *
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DD
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YYYY
Grade in Fall 2019 (if not applicable put N/A) *
Your answer
Home Address *
Your answer
City & Zip Code *
Your answer
Email *
Your answer
Mother/Father/Guardian Name *
Your answer
Mother/Father/Guardian Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Physician's Name *
Your answer
Physician's Number *
Your answer
Do you have asthma? (**If you/your child has asthma, they must have their pump with them at all sessions in order to participate) *
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