Group Trek Training 1 | Individual Trek Training

Sign-up form, emergency details, pertinent health information, sessions/packages planning on purchasing

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Personal Information
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Emergency Contact
Emergency Contact Person*
Emergency Phone*
Relationship to Emergency Contact*
Medical History
If you have any medical conditions, please document them here. In some cases, physician's clearance may be required before you can participate in group trek training. If you don't have any medical conditions, please write "none."*
Injury History
Please list any current or past injuries that you feel is affecting your ability to move. If you are currently seeing a medical professional for injury, pain or dysfunction, please list the name of that professional and their contact information. If you don't have any injuries affecting your ability to move, please write "none."*
Weekly Training Sessions
Which weekly session or sessions do you plan to attend?*
- Monday at Yost Park
- Wednesday at Saint Edward State Park
- Friday at Lower Woodland Park
Any questions or concerns about group trek training?
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Personal Information