Alamance & Rockingham Counties, NC – Sign Up Form $0.00 Programs *Hawbridge School Crazy Running Club (+$120.00)Spring - 4 Sessions (+$40.00)Spring - 6 Sessions (+$55.00)Spring - 8 sessions (+$75.00)Spring - 10 sessions (+$95.00)Tykes - Spring Session (+$75.00)Summer - 4 Sessions (+$40.00)Summer - 6 Sessions (+$55.00)4-H Crazy Running & Fitness Club (+$40.00)Rockingham County Crazy Running & Fitness Club (+$50.00)Spring Sessions are April 8th-May 28th Summer Sessions are June 25th - July 30thWhere is your child headed after practice?Car Rider Line After School Care What days of the week are you most likely to attend? Sundays Wednesdays Athlete Name * D.O.B. * Gender *Male Female Grade * Choose an optionPK K 1 2 3 4 5 6 7 8 9 10 11 12 Shirt Size * Choose an optionYouth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Add 2nd ChildNo Yes Program of 2nd Child Spring - 4 Sessions (+$40.00) Spring - 6 Sessions (+$55.00) Spring - 8 Sessions (+$75.00) Spring .- 10 Sessions (+$95.00) Tykes Spring Sessions (+$75.00) Summer - 4 Sessions (+$40.00) Summer - 6 Sessions (+$55.00) Summer - 8 Sessions (+$75.00) Summer - 10 Sessions (+$95.00) Summer - 20 Sessions (+$140.00) Summer Unlimited Sessions (+$190.00) Hawbridge School Running Club (+$120.00)Name of 2nd Child * D.O.B. of 2nd Child * Gender of 2nd Child *Male Female Grade of 2nd Child * Choose an optionPK K 1 2 3 4 5 6 7 8 9 10 11 12 Shirt Size of 2nd Child * Choose an optionYouth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Add 3rd ChildNo Yes Program of 3rd Child Spring - 4 Sessions (+$40.00) Spring - 6 Sessions (+$55.00) Spring - 8 sessions (+$75.00) Spring - 10 sessions (+$95.00) Tykes - Spring Sessions (+$75.00) Summer - 4 Sessions (+$40.00) Summer - 6 Sessions (+$55.00) Summer - 8 Sessions (+$75.00) Summer - 10 Sessions (+$95.00) Summer - 20 Sessions (+$140.00) Summer Unlimited Sessions (+$190.00) Hawbridge School Running Club (+$120.00)Name of 3rd Child * D.O.B. of 3rd Child * Gender of 3rd Child *Male Female Grade of 3rd Child * Choose an optionPK K 1 2 3 4 5 6 7 8 9 10 11 12 Shirt Size of 3rd Child * Choose an optionYouth 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 Bebe LLC (an independently owned and operated franchisee of Crazy Running Franchising LLC), Bayyinah Ramzah, Robyn Land McElwee, 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 Bebe 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 Bebe 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 Alamance & Rockingham Counties, NC - Sign Up Form quantity — OR — Add to cart Category: Crazy Running Alamance - Rockingham (NC) Description Description For more information on our offerings: Winter Conditioning Questions? Email us! July 20, 2022 4:39 pm Comments are closed here.
Comments are closed here.