Name: Greenville, NC - Sign Up Form
SKU: 7737
Availability: InStock

Program Registration *

I am interested in the week-long Crazy Running Camps (partnering with Camp Oakwood)

I am interested in scheduling one-on-one sessions for my athlete.

I am interested in scheduling small group sessions for a group of athletes.

Will your child be attending after-school care? *

Yes

Athlete Name *

Gender *

Male

Female

Grade *

T-shirt Size (Fall/Spring programs only) *

Sponsor a Runner (×$1.00)

Give the gift of running to students at our local schools by donating today! Donations help fund scholarships for our after-school programs and provide the full Crazy Running experience to these participants, including t-shirts, goal races, and trained coaches. Your support is appreciated!

Emergency Contact *

Emergency Contact Phone *

Email Address for Communications *

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.

I acknowledge that the Minor suffers from the following physical, emotional, or social conditions that may be important for the Crazy Running coaches to be aware of: *

I hereby warrant that I have read this Participant Release and Waiver and understand its contents.

Can we add you to our mass email (typically sent once per month)? *

Yes

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 Greenville Crazy Running LLC (an independently owned and operated franchisee of Crazy Running Franchising LLC), Ashley Blackmer, 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 Greenville Crazy Running 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 Greenville Crazy Running 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:

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.

Greenville, NC – Sign Up Form