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CrimFit Youth Professional Development

CrimFit Youth Program Professional Development
(Community-Based)
September 21, 2012
8:30 AM – 1:30 PM
Boys and Girls Club of Greater Flint, Flint, MI

First Name *
Last Name *
Organization *
Position *
Address *
Address 2
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Fax
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Shirt Size *


I work with ages (check all that apply):

0-5
6-10
11-14
15-18
Other

What is the focus of your work (check all that apply)?

Sports
Please specify
Recreation
Other


Do you require any special accommodations or have any dietary restrictions?

I hereby give my approval and permission to participate in the activities of the CrimFit Youth Program training.  I understand participation in this Crim program is voluntary and do hereby waive, release, absolve, indemnify and agree to defend and and hold harmless the Crim Fitness Foundation, its director, staff, volunteers, organizers, sponsors, and other participant.  I also authorize the Crim Fitness Foundation, to utilize any photographs and videotapes of my participation in the CrimFit Youth Program training. By checking this box, I hereby certify that I have read all the terms and conditions of this release and do intend to be legally bound thereby.

 


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