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Franchise
Application
Cumming Crazy Running – Sign Up Form
$
0.00
Programs
*
1 day/week Sundays at Grand Cascades Juniors, Upperclassmen and Teens
(
+$50.00
)
1 day/week Wednesdays
(
+$85.00
)
2 practices per week- Ages 8-16
(
+$160.00
)
Creekside Christian Academy
(
+$200.00
)
Adult Training 1 day/week
(
+$85.00
)
Adult Training 2 days/week
(
+$130.00
)
Where is your child headed after practice?
Car Rider Line
After School Care
For Sundays, please indicate which practice your child will attend
*
Juniors and Upperclassmen at 4pm
Teen group at 5pm
Athlete Name
*
D.O.B.
*
Gender
*
Male
Female
Grade
*
Choose an option
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Adult Training Group
Shirt Size
*
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Add 2nd Child
No
Yes
Program of 2nd Child
*
Winter Conditioning | Creekside
(
+$200.00
)
Name of 2nd Child
*
D.O.B. of 2nd Child
*
Gender of 2nd Child
*
Male
Female
Grade of 2nd Child
*
Choose an option
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Shirt Size of 2nd Child
*
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Add 3rd Child
No
Yes
Program of 3rd Child
*
Winter Conditioning | Creekside
(
+$190.00
)
Name of 3rd Child
*
D.O.B. of 3rd Child
*
Gender of 3rd Child
*
Male
Female
Grade of 3rd Child
*
Choose an option
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Shirt Size of 3rd Child
*
Choose an option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
How did you hear about us?
Returning Crazy Runner
Facebook
Instagram
Word of mouth
Web Search
Other
Emergency Contact
*
Emergency Contact Phone
*
Email Address
*
Secondary Contact
Secondary Contact Phone
Photo Release
by Crazy Running Franchising LLC and any franchisee of Crazy Running Franchising LLC for marketing purposes, including but not limited to: still photography, videotape, electronic and print publications and websites. I give this consent with no claim for payment. I DO consent to the use any visual image of Minor.
Please initial to consent to use of photographs, video, etc.
Waiver
In consideration of this application being accepted, I certify that I am the parent or legal guardian of the above named participant (“Minor”), a minor, and hereby consent to his/her participation in the Crazy Running program. I hereby waive and release any and all claims that I may have, or that my child may have, against Crazy Running Cumming LLC (an independently owned and operated franchisee of Crazy Running Franchising LLC), Stefanie Hartman, Jessica Cowart, Donald Cowart and any other coaches or staff (“Releasees”) from any and all liability, claim, judgment, loss, costs and expenses arising out of any illness or injury that my child or I may incur or sustain during the program. I have had the opportunity to inspect the premises used for practices and am satisfied with its condition. I understand that, in the event of an injury or illness of my child, a representative of Crazy Running Cumming LLC will try to notify me or another emergency contact first. In the event that I or another emergency contact cannot be reached, I authorize Crazy Running Cumming LLC to obtain necessary medical treatment for Minor and hereby, in my own behalf, release and hold harmless Releasees in the exercise of this authority. I also accept full financial responsibility for such care. I acknowledge that the Minor suffers from the following conditions that may be important for the Crazy Running coaches to be aware of:
Are there any physical, emotional or social issues that we should be aware of that might affect how he/she interacts in a group setting or affect participation? We want to prepare our coaches to provide the best possible experience for all participants.
I hereby warrant that I have read this Participant Release and Waiver and understand its contents. I hearby authorize and consent to the use of:
Minor's Visual Image
*
Yes
No
Waiver Signature
*
Refund Policy:
Due to changes in our payment processing provider's policies, in the event of needing a refund, we are now forced to charge $11 per program refunded.
Product total
Options total
Grand total
Cumming Crazy Running - Sign Up Form quantity
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Category:
Crazy Running Cumming (GA)
Description
Description
For more information on our offerings:
Winter Conditioning
Questions? Email
us
!