See our web page for clinic details.

Full Name*:  

Address*:    

City*:       

State/Prov*: 

Zip Code*:    Country: 

Day Phone*:  

Eve. Phone:  

Email Addr*: 

Shirt Size:  
S 
M 
L 
XL 

Running Background

You must fill this out as completely as possible with
CURRENT info including paces to receive a training
schedule.

Miles run per week:          

Days run per week:           

Longest training run & pace: 

Day of week for longest run: 

List previous marathons/half marathons, times and dates:

List recent races, times and dates:      

Waiver

CONSENT AND RELEASE

Waiver: In consideration of being permitted to participate in Portland Marathon Clinic's  training program. I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, covenant not to sue and discharge the Portland Marathon Clinic from liability from any and all claims including the negligence of  the Portland Marathon Clinic resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Portland Marathon Clinic's  training program.

Assumption of Risks: I understand that participation in running and conditioning programs carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. I know that running is a potentially hazardous activity and certify that I am in good health and physically fit to enter into a training program. I acknowledge that I am aware of the many risks of injury or other conditions involved in athletic training in general and running training specifically, including conditions or injuries which could be life threatening. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in training for and participating in road, trail and track running and racing and any conditioning and cross training activities associated with that training. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD HARMLESS the Portland Marathon Clinic from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in the Portland Marathon Clinic's  training program.

Severability: I  further expressly agree that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Oregon and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity, and responsibility agreement above, fully understand its terms, and I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am accepting the agreement freely and voluntarily, and intend by my registration to be a complete and unconditional release of all liability to the greatest extent allowed by law. 

BY CONTINUING THE REGISTRATION PROCESS AND CLICKING THE Pay Now BUTTON BELOW, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND ACCEPTED THE ABOVE WAIVER.