Runner Sign Up

Program Registration Forms: Runner Sign Up Participant Guide & Acknowledgement Waiver and Release of Liability and Assumption of Risk Agreement Waiver/Release for Communicable Diseases Including COVID-19 Authorization for the Release of Medical Information (ARMI) Payment Agreement Refund Policy

Runner Sign Up 2023-2024

"*" indicates required fields

Runner Info

Name*

First Last

Grade*

Date of Birth*

Gender*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Runner's Cell

Runner Ethnicity

(Optional information that provides program statistics)

If Other, Please Enter Here:

Home Training Campus:*

*If the participant does not belong to a specific campus, please select the nearest geographical campus to primary residence.

Bill Pay Option*

Shirt Size (select one from each category)

Youth Size*

*Please note that Youth Sizes are not always available

Men (Unisex) size*

*Please select a size. This size will also be used if/when Youth or Woman specific sizes are not available.

Women*

*Only available at certain events

Contact Information

Primary Contact Name*

First Last

Primary Contact Cell*

Primary Contact Email*

Secondary Contact Name*

First Last

Secondary Contact Cell*

Secondary Contact Email

Other Emergency Contact #1

Other Emergency Contact #2

Doctor's Name*

Doctor's Phone*

Health Insurance*

Insurance ID Number*

Allergies or known medical conditions that you would like to share with your coach:

Email

This field is for validation purposes and should be left unchanged.

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