Trainee Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthdate *

MM

DD

YYYY

Emergency Phone *

Best number to reach your emergency contact in the event of an incident

(###)

###

####

Did you complete a marathon in 2020? *

Yes

No

Volunteer Opportunities (Check All That Apply) *

Although participation in our training program is FREE, our club does absorb costs due to insurance, permits, hydration, etc. Based on 2019 participation, those costs were equivalent to approximately $25/participant. We're asking participants in this program to commit to one of our volunteer events in 2021. Please select one of the following to receive more information.

Please contact me as volunteer opportunities are made available

I plan to make a donation to the Club in lieu of volunteering

BWRC Waiver *

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I AGREE

I DISAGREE