Registration and Waiver Form
By completing the form below, I agree to pay SRQRunning the agreed upon training program fee and understand the fee is non-refundable and non-transferable. In the event of an injury or personal reason that causes training to stop for more than one week, a credit for any unused time will be issued, valid for up to one year from the date of notification. This waiver will remain in effect as long as participant remains training with SRQRunning. Any additional training, coaching support and related fees will be determined as appropriate.
In addition, I do here by certify that I/my child is physically fit, and have not been informed otherwise by a physician. I acknowledge that I am aware of the risks inherent in participating in this training program (training, competition, recreation) including possible permanent disability or death, and agree to assume all of those risks. As a condition of my participation in a Training Program, or any activities incident thereto, I hereby waive any and all rights to claims for loss or damages, caused by negligence, active or passive, including all claims for loss or damages caused by negligence, active or passive of the following: SRQRunning, Holly Johnson, New Balance Sarasota, race organizer, sponsors and any individuals running the program or supervising such activities. I consent that the photographs and/or video, taken by photographers shall remain the property of SRQRunning and may be used for the purpose of advertising, publicity, in house publications and promotions.
SRQ Running Registration & Waiver
The registration and waver form on this page is for your convenience.
- Please complete all applicable fields.
- Please read and electronically sign the document
- Secure online payment can be made via PayPal to the account firstname.lastname@example.org
Should you have any questions please contact or text Holly Johnson, at (941)350-9615 or email@example.com.