Winston-Salem, NC – Sign Up Form (Adult)

In consideration of this application being accepted, I certify that I am the the above named participant, and hereby consent to participation in the Crazy Running program. I hereby waive and release any and all claims that I may have, against Crazy Running LLC, Robyn Land McElwee, Donnie 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 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, a representative of Crazy Running, LLC will try to notify my emergency contact. In the event that your emergency contact cannot be reached, I authorize Crazy Running LLC to obtain necessary medical treatment for myself 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 I suffers from the following conditions that may be important for the Crazy Running coaches to be aware of: