Houston, TX – Sign Up Form

Name: Houston, TX - Sign Up Form
SKU: 11775
Availability: InStock

$0.00

Programs *

Athlete Name *

D.O.B. *

Gender *

Male

Female

Grade *

Shirt Size *

In an effort to keep costs as low as possible for our participants - although encouraged - CRAZY RUNNING Shirts are not included in the registration costs, and are an optional addition to most of our programs (with exception to our Summer Camp where the registration cost includes a shirt/crafts/ and snacks).

Emergency Contact *

Emergency Contact Phone

Email Address *

Secondary Contact

Secondary Contact Phone

How did you hear about us? *

Please let us know if someone referred you to our program. We would like to thank them.

What school district or city are you located in?

We would like to know so that we can accommodate as many as possible with our future program locations!

Would you like to give us some feedback on how we can improve for next season?

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 SLAMMMD LLC (an independently owned and operated franchisee of Crazy Running Franchising LLC), Savannah and Michael Romero, Donald Cowart, Jessica 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 SLAMMMD, 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 SLAMMMD 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

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

Yes

Waiver Signature *

Refund Policy: Once complete, all sales are final. There are no refunds.

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Category: Crazy Running Houston (TX)