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Speeder Kids Running Club Waiver

Please fill out the Waiver and Release of Liability for each child that is participating in the Speeder Kids Running Club.

Date of Birth
Month
Day
Year
Gender
Male
Female
Grade
Age

Emergency Contact #1

Emergency Contact #2

Permission to Use Photograph

I grant to Schock Fitness & the Speeder Kids Running Program, its representatives and employees the right to take photographs of me, my child/ children and my property. I authorize Schock Fitness & the Speeder Kids Running Program, its assigns and transferees to copyright, use and publish the same in print and/or electronically.


I agree that Schock Fitness & the Speeder Kids Running Program may use such photographs of me, my child/ children and property for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

Photography Permission
I give Schock Fitness permission to use photographs as stated above.
I do not give Schock Fitness permission to use photographs as stated above.

Expectations for Participation:

To ensure the safety and enjoyment of all participants, each child must:

  1. Listen and follow coach directions throughout each session.

  2. Wear sneakers to each session.

  3. Bring a water bottle with their name on it. The water bottle must be filled prior to each session.

  4. Wear appropriate clothing for weather conditions, including sunscreen and a hat if needed.

  5. Use the bathroom before arriving at the session.

Program Rules:

  1. Have fun!

  2. Keep hands to yourself—no touching others.

  3. No gymnastics or martial arts (e.g., cartwheels, flips, kicks, punches, etc.).

  4. If a break is needed, use the designated break area for a maximum of 2 minutes.

  5. When a coach raises their hand, all children must be quiet and listen for instructions. If a child is proving to be continuously disruptive during a SKRC session, the coaches will inform the parents.

Acknowledgment of Risk & Release of Liability:

I, the undersigned parent/guardian, acknowledge that participation in the Speeder Kids Running Club involves physical activity and the risk of injury, including but not limited to falls, contact with other participants, and environmental hazards. I voluntarily assume all risks associated with my child’s participation in this program.


I hereby release and hold harmless Schock Fitness & Pilates, its coaches, employees, volunteers, and affiliated organizations from any claims, liabilities, or damages arising from my child’s participation in the Speeder Kids Running Club. I certify that my child is in good health and has no medical conditions that would prevent them from safely participating in physical activities.


If my child requires additional support services to participate in the Speeder Kids Running Club, I understand that it is my responsibility as the parent/guardian to coordinate and provide such support as needed.

I also agree to inform the coaches of any and all health concerns or issues that might impact my child’s participation in the program, including but not limited to allergies, asthma, or any other medical conditions or behavioral concerns that may require attention.


In the event of an emergency, I authorize the program staff to seek medical treatment for my child if I am unable to be reached.

Consent & Agreement:

By signing below, I confirm that I have read and understand the expectations, rules, and waiver of liability. I agree to these terms on behalf of my child.

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808 Bethlehem Pike Suite #1

Glenside, PA 19038

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