Women’s Beginner Walking OR Running Workshop What: Now in its 12th year, First Strides® Vermont is a beginner 12-week program that will help you comfortably progress from the couch to walking or running at a pace that’s right for you. Open to women ages 16 to 116. Why: This program has helped more than 500 women find fitness and self-confidence they never imagined possible. Lose weight, tone up, make new friends and walk or run farther than you ever thought you could. Attend at least 8 of the 12 classes and you’ll earn a unique First Strides graduation technical T-shirt! When: Wednesdays 5:45-6:45 p.m., May 6th through July 22nd. Weekly meetings include a self-paced group walk, run or combination with supportive, experienced mentors, plus speakers on form, footwear, nutrition, safety, and more. Where: Community Park, Williston, behind Williston Central School. Cost: $45 paid on-line at: www.firststridesvermont.com until April 29th. OR, bring this form and cash or a check for $50 to the first day of class (May 6th). See reverse for registration form, directions & contact info. Sponsored by: First Strides® Vermont Registration Form TO SIGN UP: Register and pay online at www.firststridesvermont.com through April 29th OR, bring this form and $50 in cash or a check payable to: Kasie Enman to the first class on May 6th. Payment and registration must be received by May 6th. You must attend class by May 13th to continue the program . No payments accepted after May 6th. Name _______________________________________________ Day Phone (___)___________________ Street ________________________________________________ Home Phone (___)_________________ City _________________________________________ State ______ Zip __________________________ Email _____________________________________________________ Birthdate mm/dd/yy ___/____/____ Women’s T-Shirt Size (circle one): S, M, L, XL, 2X, men’s 2x (like w’s 3x with roomier cut) In consideration of being allowed to participate in any way in the First Strides® Vermont program or related events and activities, the undersigned acknowledges, appreciates and agrees that: 1) The risk of injury from the activities involved in this program is significant, including the potential for death, and while particular guidelines and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2) I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and, 3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the program leader or volunteers immediately; and, 4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless the Road Runners Club of America, the Town of Williston, Fleet Feet Sports, Women’s Source for Sports, their officers, employees, other participants, sponsoring agencies, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), with respect to all and any injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law; and, 5) I consent to the taking and public use of any photographic or audio visual images by persons selected by First Strides® Vermont and waive any right that I may have to copyright, inspect or approve the final project. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. Signature ______________________________________________Date _________________________ Parent’s Signature _______________________________________Date _________________________ (if under 18 years) ______________________________________________________ DIRECTIONS ►DIRECTIONS ►DIRECTIONS ►DIRECTIONS From I-89, exit 12: At the end of the exit ramp, turn north onto VT-2A toward Williston/Essex Junction. Drive 0.7 mile to the traffic light at Williston Rd. /US-2. Turn right onto Williston Rd./US-2. Drive 1.9 miles into Williston Village, turning left at the sign for Williston Central School/Community Park (Central School Drive). Follow First Strides signs to parking. Class is rain or shine; dress accordingly. Restrooms available. For More Info: See www.firststridesvermont.com or send an e-mail to: [email protected]
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