MEMBERSHIP REGISTRATION Run21 Club Calgary Personal Information Name* Last Name* Home Address* City* Province* Postal Code* Email Address* Phone* Date of Birth* Emergency Contact Name* Last Name* Phone* Relationship to Registrant* Running Experience and Health Notes Running History / Experience*5k10k21k42k Running Goals*5k10k21k42k Preferred Running Distance*5k10k21k42k Any Current or Recent Injuries?*YesNo Any Health Issues or Allergies?*YesNo Program Waiver Completed?*YesNo Get Active Questionnaire Completed?*YesNo Notes or Comments: Membership Information FULL Access Membership ($150.00) Access to All Programs and Training MaterialsSOCIAL Membership ($50.00) Come for a RUN or Walk, or Come for the Fun How Did You Find Us?Program AlumniReferralSocial MediaRun21 Web SiteRunning Store or Running EventJust Stumbled Upon UsI asked Siri where all the fun people hang out Submit and complete payment