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Tough Cookie Running
Program
Registration Form
Personal Information:
Name:
Home Phone:
Work Phone:
Cell Phone:
E-mail:
Address:
Date of Birth:
Emergency Contact Information:
Name:
Phone:
Relationship:
Please choose training session:
-
Wednesday
9:30-11am/Saturday 7am
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Wednesday
6-7:30 pm/Saturday 7am
Registration
Fees
$350 Marathon/Half
Marathon ($325 Returning Tough Cookies)
$150
Intro to Running ($125 Returning Tough Cookies)
Waiver:
I hereby release liability and hold harmless the
coaches, and any and all groups, people, or facilities connected with TCDC
Fitness, Inc./Tough Cookie Training from any loss, damage, or claims I may
have arising out of my participation in program activities, including personal
injury or damage suffered by me or others, whether same be caused by falls,
contact with other participants, conditions of the course, or otherwise. I
further certify that I am physically fit to participate in program
activities. I give my permission to TCDC Fitness, Inc to use any photographs,
videotapes, or other recordings of me that are made during program events.
Signature of Participant:
Please
fill out this form and mail together with your check payable to:
TCDC
Fitness, Inc.
7301 Ranch Road 620 N.
Suite 155,
#289
Austin, TX 78726
512-431-6509
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