1-18-15 Carlsbad Marathon & Half*

Carlsbad Marathon & Half - Jan 18, 2015
Membership Status

I AM a current Certified Race Guards Team MemberI am NOT a current Certified Race Guards Team Member. If you are NOT a current Team Member, STOP here and fill out the Race Guards Team Membership Sign-Up form under the Get Involved tab.
How many Race Guards events have you done?

None, this is my first event1-5 events6-15 events16+ events
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Best ways to contact you:

PhoneEmailText
Shirt Size:

SmallMediumLargeExtra Large
Birthdate

MonthDayYear
Age
What is your CURRENT half marathon TRAINING pace?
CERTIFICATIONS

(Minimum certifications: CPR, First Aid, AED)
Certified in:

CPR (required)First Aid (required)AED (required)Medical DoctorRegistered NurseEmergency Medical TechParamedicPhysician AssistantMedical StudentMilitary CorpsmanVeterinarianCertified Trainer
Open Water Certifications (please specify)
Other (please specify)
CERTIFICATION EXPIRATION DATES

Please indicate the expiration dates for your certifications
CPR

MonthDayYear
First Aid

MonthDayYear
AED

MonthDayYear
WAIVER FORM

Click the link to read the Race Guards Waiver Form.
WAIVER FORM
I have read and fully understand and agree to the contents of the Race Guard Waiver Form.
Select*

Yes
Date*

MonthDayYear
Full Name*

First NameLast Name
* Due to the popularity of this event and the anticipated Race Guards team member sign-up, this event may be subject to a lottery selection.

* Race Guards event team members will be notified within 2 weeks prior to the event as to their status of participation.

* Race Guards reserves the right, at the sole discretion of Race Guards, LLC and Race Guards Foundation, to accept, deny, and revoke an individual's Race Guards team membership participation.

* By submitting this application, you agree that the information provided is true and accurate.

* By submitting this event application, you also agree to the terms and conditions set forth in application.
Should be Empty:

Carlsbad Marathon & Half - Jan 18, 2015

CERTIFICATIONS

CERTIFICATION EXPIRATION DATES

WAIVER FORM