Run Club Registration

Thank you for registering for the AIK Run Club!

Please complete all the information below.  Your information will be sent directly to Lorie Muller and she will contact you shortly. if you have any questions, please email Lorie at lorie@athletesinkind.com

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* Required information.

Personal Information
Participant's Name *
Your Phone Number *
Your Cell Phone
Your Address *
Your City *
Your Postal Code *
I have a website
Your Email Address *

Let us know about your running capabilities
I run LESS than 30 minutes more than 2x per week
I run MORE than 30 minutes more than 2x per week
I am a run/walker
Your 5 km time
Your 10 Km time
Your 1/2 marathon time
Your marathon time
Your Ultra time and distance

Emergency Contact Information
Emergency Contact Name *
Emergency Contact Phone *
Relationship *

Waiver and Release: MUST READ AND SIGN

In consideration of acceptance into the AIK Run Club you, your executors and administrators hereby, waive and release the organizers of this club along with Athletes In Kind Charitable Society, and any and all rights of claims for damages you may have against them, their representatives, successors and assigns, for any and all illness, injuries and/or losses you may sustain as a result of participation in this club. You also promise to try to have fun, and enjoy the experience of running with an organized group as much as possible.
I am in agreement with the Club Waiver *
Agreement Signature *

If the Participant is under age 18, we require parental agreement.
Parent's Name
Parent's Signature Date

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