RUNNER'S WORKSHOP -- Conditions of Enrollment Form

PARTICIPANT QUALIFICATIONS: All Runners’ Workshop Inc. participants must be at least 12 years old, and sufficiently physically fit to participate safely in all activities while at camp/clinic.

TRANSPORTATION: Transportation is the responsibility of the participant. Out of state athletes: Round trip air fare & arrangements to & from the airport are the responsibility of the participant. Transfers should be arranged in consultation with Runner’s Workshop Inc.

CANCELLATION: The tuition will be refunded in full, less the $75.00 registration service charge, when written notice of cancellation is received at least 1 month prior to the camp you are attending. Written cancellations received after this time, but prior to the start of camp session will be subject to a cancellation charge of 50%. Written notification of cancellation after the start of the camp session will forfeit the entire tuition.

WITHDRAWL: It is understood that Runner’s Workshop Inc. has a limited enrollment, and fixed, consistent operating cost. Because of these limitations, no refund or reduction for tuition will be made for the withdrawal of a participant, his/her late arrival, or early departure. If a participant needs to be withdrawn from camp prior to the end of the session for a medical reason, the camp and parent shall share equally in the loss, and 50% of the unused tuition will be refunded. Runner’s Workshop Inc. reserves the right to dismiss a participant whose conduct or influence is unsatisfactory or in the opinion of the directors is not in the best interest of the program. There will be no refund. If the parent brings the participant home for any reason other than medical after camp begins, there will be no refund.

HEALTH: For the protection of all the participants, each participant will need a physical examination within 6 months prior to arrival. This form is included in the Runner’s Syllabus. It is understood that unless otherwise indicated your child is in good health and may participate actively in all appropriate camp activities. Any information, which may be pertinent to your child’s welfare, must be provided to the camp in writing attached to his/her application or health form. Should anyone with whom the participant has been associated become ill with a contagious disease, within three weeks of the program, please notify us at once. Should your child become ill or injured at camp and be required to limit or suspend activities for a period of time, no credit, reduction of tuition or refund will be issued. Parents/Guardians will be notified if any prescription type medication is needed for an illness at camp and all cost for such medication shall be born by the parent/guardian.

If my child or I are accepted for enrollment I agrees that: 1. Runner’s Workshop Inc., its’ directors or employees, will not be help responsible for any injury that is not the direct fault of Runner’s Workshop Inc. beyond the assurance the injury will receive professional attention. 2. If I or my child requires medical attention, Runner’s Workshop Inc. has my authorization to obtain it from any licensed physician or hospital as the program deems necessary, and Runner’s Workshop Inc. may act in myplace in this regard. This authorization applies whether my personal insurance or camper insurance covers the charges. 3. I understand that all medical cost related to the participant’s injury is the responsibility of the participant or the participant’s parent or guardian. 4. I agree to pay tuition fees as set forth on the Runner’s Workshop Inc. promotional flyer. 5. Runner’s Workshop Inc. may use my or my child’s photographs or video in promotional materials. 6. If a check is returned unpaid there will be a $15.00 charge.

EMERGENCY INFORMATION: We rely on this application for the participant’s safety and well being: therefore, we must receive notice of any changes promptly and in writing.

Runner’s Workshop Inc. requires that each athlete have accurate information on file at all times. In the event a parent or guardian is traveling, Runner’s Workshop Inc. will need an accurate itinerary of the trip as well as an alternative emergency contact that will be available during the session.

MEDICATION: Parents of children who take medication will need to complete a medication form, which is part of the Syllabus. Please bring all mediation to the departure site. A completed form is necessary for any/all types of medicine (nose drops, prescription,) DO NOT PACK MEDICINE OF ANY KIND IN YOUR CHILD’S LUGGAGE.

LOST ARTICLES: Runner’s Workshop Inc. is not responsible for article of clothing or personal belongings which are lost or damaged by misuse, laundry, shipping or theft. DO NOT ALLOW YOUR CHILD TO BRING EXPENSIVE CD PLAYERS, CAMERAS, GAMES, and ECT. TO CAMP.

CAMPER ACCEPTANCE: Runner’s Workshop Inc. reserves the right to refuse acceptance of any participant.

You will receive a postcard confirmation from us within three weeks of your mailing the application, conditions of enrollment and camp rules form along with your deposit. The balance of the tuition and physical is due by July 3rd for Tahoe and July 9th for Pepperdine and July 18th for Malibu. Final confirmation cards will be sent one week after balance is due. Directions will also be posted on the web site www.runnersworkshop.com Runner’s Workshop Inc. has a limited enrollment. Reservations will only be made with a completed application and deposit. No verbal or telephone reservations will be accepted. Runner’s Workshop Inc. reserves the right to cancel any camp session due to low enrollment. Participants may select an alternate camp session or receive a full refund.

CONDITIONS OF ENROLLMENT: Prior to signing this application, I have read and understood all portions of this form. Any questions I may have had about the policies and operations of Runner’s Workshop Inc. have been answered to my satisfaction.

Participant’s Name (please print neatly):_____________________________, Camp Attending:_______________ , Home Phone # (____) _________________,

School:____________________, Participant's Signature:_______________________Date:______ Parent’s Signature:________________________Date:_______

Mail all forms to: Runner’s Workshop Inc. P.O. Box 5028, Los Alamitos, Ca. 90720 Phone 562 493-7545. Fax 562 431-5207 Email runnersworkshop@mac.com Web www.runnersworkshop.com