Lake Orion - Cross Country Fall 2023 - Individual Registration

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Lake Orion - Fall Cross Country

Coached by Joe Zick - Returning again as our head coach, Joe has been with us for multiple seasons and has grown this program into a great team. Join us! All running skills welcomed!

1st - 5th grades

4:45pm - 5:45pm (60 minutes)

Location: Friendship Park

Dates: Starting 09/05 to 10/26 on Tuesdays & Thursdays (2x per week)

Space is limited

Questions? Please email Howard@Runner2Runner.com

Parent or Guardian

Athlete First Name *

Athlete Last Name *

Grade *

Race and Ethnicity

American Indian / Alaskan Native

Asian / Pacific Islander

Black

White

Hispanic Origin

Not of Hispanic Origin

Decline to answer

Gender

Male

Female

Non binary

Prefer not to answer

School *

Address *

Zip *

City *

State

T-Shirt Size (One per calendar year / while supplies last) *

Phone *

Primary email *

Secondary email

Photo Consent

As a parent or guardian of this student, I hereby consent to the use of photographs/videotape taken during the course of the season for publicity, promotional and/or educational purposes. I do this with full knowledge and consent and waive all claims for compensation for use, or for damages

Waiver *

I consent for my child to participate on Runner2Runner running teams. I forever waive, release, and discharge any and all rights, claims for damages and causes of suits or action, known or unknown, that I may have against Runner2Runner team coaches, any sponsors, suppliers, agents, independent contractors, employees and any other persons who in any way assist or are connected with this team in any manner arising out of or resulting from my participation on a Runner2Runner team. I agree that this waiver, discharge and release also apply to my heirs, executors, administrators, and assigns without exception. I attest and verify that I have full knowledge of the risks involved and that I will assume and pay my own medical and emergency expenses in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in running practice and events.

I hereby release and agree to hold Runner2Runner LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Runner2Runner LLC, or that may otherwise arise in any way in connection with any services received from Runner2Runner LLC. I understand that this release discharges Runner2Runner LLC from any liability or claim that I, my heirs, or any personal representatives may have against Runner2Runner LLC with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Runner2Runner LLC. This liability waiver and release extends to all Runner2Runner contractors, volunteers together with all owners, partners, and employees.

Cancellation policy *

I have read and understand Runner2Runner cancellation policy; 14 days prior to the first day of practice: $15 fee, 13 days prior to the first day of practice, 50% of registration fee refunded, once season begins there will be NO refunds.

Weather cancellations: We practice rain or shine! Cancellations to practices only if lightning, extreme heat, snow/ice. We will make up the practices by extending the season, or adding an extra day in the week depending on the team

How did you hear about us?

Athlete experience

0 to 1 year experience

2 to 3 year experience

4 to 5 year experience

5+ year experience

(Other)

Team parent

YES - I'm interested in helping out the team (setting up cones, taking role, pacing, etc)

We are joining because

For fun / general fitness

Cross training for another sport

Competitive / running at meets

Any comments (i.e medical condition or allergies)

Payment Information

Coupon

Amount

Discount Amount

Gross Amount

Payment Method

Authorize.net

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Individual Registration

Payment Information

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