Run Walk Smile

Running and walking can put a smile on your face

Registration Form


Applicant Information


Your Name: (required)

Address:

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Email: (required)

Where Did You Hear About Us?


ChiRunning®


ChiRunning® Scheduled Events

Place of Event: Event Date:


ChiRunning® Individual Coaching

Individual Coaching 1 Person $60/Hour
Number of Hours: SubTotal:

Individual Coaching 2 People $80/Hour
Number of Hours: SubTotal:

Individual Coaching 3 People $100/Hour
Number of Hours: SubTotal:


4-HOUR CHIRUNNING® WORKSHOP

Scheduled Workshop $100/Person
Number of People: SubTotal:


ChiWalking®


ChiWalking® Scheduled Events

Place of Event: Event Date:


ChiWalking® Individual Coaching

Individual Coaching 1 Person $60/Hour
Number of Hours: SubTotal:

Individual Coaching 2 People $80/Hour
Number of Hours: SubTotal:

Individual Coaching 3 People $100/Hour
Number of Hours: SubTotal:


4-HOUR CHIWALKING® WORKSHOP

Scheduled Workshop $100/Person
Number of People: SubTotal:


Total Cost $(required)

Please list names and contact information of other individuals attending workshop(s)

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You may pay online now after the registration form is completed. Registration is not complete until fees have been paid.