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Registration, Waiver, and Informed Consent

Class Registration, Check One:
     Running 101-1
$120+tax
     Running 201
$100+tax
     Running 101-2
$100+tax

Method of Payment, Check One:
     Cash      Check      Master Card
     Visa      Discover      American Express

Total Due: ____________________     Total Paid: ____________________

Refunds, Prorating, and Entry Fees:
We cannot refund any part of your class fee after you have attended the class, we cannot prorate the fee if you do not attend all class sessions, and we cannot refund or prorate your fee if you do not participate in the graduation race.

Personal Information:
First Name   Last Name  
Address  
City   State   ZIP  
Phone   Email  
Date of Birth   Age   Sex  

Waiver and Informed Consent:
I, hereby, for myself, my heirs and personal representatives, waive all rights and claims against Runcorp, Inc. (DBA: The Running Hub), its employees, officers, vendors, and sponsors and any other organizers and sponsors, their representatives and successors, for any injuries or damages I may sustain as a result of participation in Running 101-1, Running 201, or Running 101-2. I understand that the activities undertaken as part of these classes may have some risk, including, but not limited to potential collisions with automobiles, tripping and falling, and heat and exhaustion related problems. I further understand that I should see a physician before undertaking a serious fitness program. I give permission for instructors and assistants in these classes to seek medical attention for me, should I, in their judgment, require it. I understand that volunteer medical assistance may be available and agree that such volunteer aid may be rendered to me.

Signature: ______________________________     Date: ____________________

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The Running Hub : 527 B West Cordova Rd : Santa Fe, NM 87505 : info@runsantafe.com : (505) 820-2523

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