REGISTRATION AND WAIVER FORM

Personal Best Fall 2008 Running Program

 

How to Sign Up:

1.  Read, complete and sign Registration Form (below)

2.  Make check payable to Personal Best  ($120)

3.  Mail signed Registration Form (below) and check to:         

       Personal Best Running Programs, LLC

       6333 W. 52nd St.

       Mission, KS 66202

4. The FIRST GROUP RUN (Saturday, August 9) will originate from Johnny’s at 83rd St and Mission Road at 7:00 a.m. 

 

**************  REGISTRATION/WAIVER FORM  **********************

 

NAME:  _____________________________________________________

 

ADDRESS:  __________________________________________________

 

CITY: ________________________   STATE:  _____   ZIP:  _________

 

E-MAIL ADDRESS:   ___________________________________________ 

 

RACE TRAINING FOR (OPTIONAL):    _____________________________

 

In consideration of the acceptance of my participation in Personal Best Running Programs LLC, I release, waive and forever discharge Personal Best Running Programs LLC, principals and employees thereof from any and all liabilities, claims, demands, actions, damages, costs and expenses for death, personal injuries or other damages I may sustain during participation in Personal Best Running Programs or related activities.  I acknowledge that participation in exercise programs carries with it potential hazards, and that it is my individual responsibility to determine the safety of my participation in light of my current fitness level, health and ability. I understand that exercise is strenuous and includes risks and I freely and voluntarily assume all of the risks known or unknown, incident to my participation.

 

Signature:   ___________________________   Date:  ___________