TEAM GFR HALF-MARATHON/MARATHON TRAINING - 2009-2010 REGISTRATION FORM

Complete and bring or mail with check (payable to GFR) to:
Gallagher Fitness Resources
135 Commercial St NE, Salem, OR 97301

Choose the time of year and length of training plan. Start with an event in mind and choose from time frames on the registration form. Half-marathon plans are 13 weeks. Marathon plans are 22 weeks. Available training plans allow you to combine half-marathons and marathons. Veteran participants select plans based on goal events and favorite times of the year to train. Options are based on most popular events chosen throughout our history of offering training programs.

Please select one plan:   New Alum __ T1: Nov-Oct (52 wks) by 11/20/09 $250 $200 __ T2: Nov-Jan (13 wks) by 11/20/09 $120 $95 __ T3: Nov-May (30 wks) by 11/20/09 $175 $140 __ T4: Jan-May (17 wks) by 2/8/10 $135 $105 __ T5: Feb-Oct (39 wks) by 2/8/10 $200 $160 __ T6: June-Oct (22 wks) by 6/7/10 $150 $120 __ T7: Aug-Oct (13 wks) by 8/9/10 $120 $95       Beginner Programs __ B1: Nov-Jan (13 wks) by 11/20/10 $120 $95 __ B2: Jan-May (18 wks) by 1/18/10 $135 $105 __ B3: Apr-Oct (28 wks) by 4/24/10 $175 $140

OFFICE USE ONLY: __ ActiveSalem __ POS __ CC Name: ___________________________________________________ Address: _________________________________________________ City: ____________________________________ Zip: ____________ E-mail: ___________________________________________________ Day Phone: _________________ Evening Phone: ________________ Emergency Contact: ________________________________________ Emergency Phone: _________________________________________

WAIVER: I know that walking, running, and road racing are potentially hazardous activities. By entering this training program I am taking responsibility for medical clearance and for being physically able and properly trained to participate in this program. I have consulted with my physician or primary health care provider. I agree to abide by any decision of program officials relative to my ability to safely complete the training program. I assume all risks associated with running, but not limited to my own fitness and health condition. I acknowledge the effects of weather, including cold, windy conditions, rain, high heat and/or humidity, or that falls, contact with other participants, the condition of sidewalks and/or roads, and possible traffic on the route, are all risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my application, I for myself and anyone entitled to act on my behalf, waive and release Gallagher Fitness Resources, GFR Inc, and all other sponsors, program officials, their representatives and successors from all claims or liabilities of any kind arising out of my participation in these activities even though that liability may arise out of negligence or carelessness on the persons named in this waiver and other organizations. I grant permission to GFR, Inc. to use any photographs, video, or any other record of this program for any legitimate purpose. I understand that bicycles, skateboards, baby joggers, roller blades, and audio headsets are not allowed in this training program and I will abide by this guideline. I understand that registration is non-refundable once it has been received.

Signature: _____________________________________ Date: _____________________