Tread Trainer Course Registration Form

First Name

Last Name

Phone Number

Phone

Street Address

City

State / Province

Zip Code

Instructor Name

Enter the name of the Master Tread Trainer hosting the course.

Course Date

mm/dd/yyyy

Age

Photo Release

I hereby authorize Tread Lightly!, Inc. to publish the photographs/images taken of me and use my name in Tread Lightly!, Inc. printed publications, social media outlets, organizational blogs and websites. I acknowledge that since my participation in said organizational communications produced by Tread Lightly!, Inc. is voluntary, I will receive no financial compensation. I further agree that my participation in any printed publications, social media outlets, organizational blogs and websites produced by Tread Lightly!, Inc. confers upon me no rights of ownership whatsoever. I release Tread Lightly!, Inc., its contractors and its employees from liability for any claims by me or any third party in connection with my participation.

Express Assumption of Risk and Release of Claims

I have read and agree to the terms of the Express Assumption of Risk and Release of Claims document provided on the course listing page. Participation in a Tread Lightly! Tread Trainer course will not be permitted for individuals declining the terms.

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