Run Your Socks Off! October 24, 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are so happy you are joining CoachAmyPT and the Roadrunners of KC for our charity walk/run to benefit scrapskc. We will not share your contact information with anyone. It is simply for your safety and to contact you regarding event changes or updates.

Email *

Enter your full name. *

You must be at least 16 years old or accompanied by an adult for this event. Enter your date of birth. *

I understand that I am responsible for my own safety and will abide by all pedestrian traffic laws. Enter your initials below. *

In consideration of the acceptance of my participation in programs run by Personal Best Running and Fitness LLC, doing business as Roadrunners of Kansas City (RRKC) and CoachAmyPT, I release, waive and forever discharge RRKC and CoachAmyPT, principals and employees thereof from any and all liabilities, claims, demands, actions, damages, costs and expenses for death, personal injuries or other damages I may sustain during participation in RRKC and CoachAmyPT activities. I acknowledge that participation in exercise programs carries with it potential hazards, and that it is my individual responsibility to determine the safety of my participation in light of my current fitness level, health and ability. I understand that exercise is strenuous and includes risks that I freely and voluntarily assume all of the risks known or unknown, incident to my participation. Sign below by entering your full name. *

Enter today's date. *

YYYY

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Coach Amy PT. Report Abuse

Forms