Personal Trainers and Coaches
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buttar.com/trainers

Youth Fitness Challenge Registration Form

 

First Name
Middle Initial
Last Name
M or F
Birthdate
Age (as of 12/31/05)
City
State
Zip
County
Full name of school
Emergency contact
Emergency phone number
How did you hear about this event?
A parent, guardian or teacher has read the release (below) and agrees to all terms. (Please check denoting a signature)

Name of party signing: 

LIABILITY WAIVER: I, desire to participate in one or more of the Buttar Inc. events. I realize that participation in these races carries with it certain risk, and I fully assume any and all risks for my participation. Therefore, I, for myself, executors, administrators, heirs, next of kin, successors and assigns, waive and release anyone associated or affiliated with this event, Buttar Inc., Avalon Park, Gold's Gym (The Releasees) from any and all claims, potential claims, damages, court costs and attorney's fees that may arise from my participation in the event. Furthermore, I agree to indemnify and hold harmless the Releasees for any damages from any such claims or damages due to loss or destruction of my personal property while at the event site or property.

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