Badass Run Club Registration & Waiver Form

Badass Run Club Registration

Welcome to the Badass Run Club sponsored by Mercy for Animals! We're excited to have you with us and build community around health, wellness, and generally being a Bad Ass. We'll meet up at 8am sharp at the location we will send you in the town you select. Please wear comfy running/ workout shoes, workout clothes, and bring water. See you there!
Having trouble with this form? Click here.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*

Area CodePhone Number
E-mail*
Emergency Contact*

First NameLast Name
Emergency Contact Cell Phone*

Area CodePhone Number
What City Will You Be Joining Us*
Do you understand that the event location in the city you choose will be sent to you in advance of the run club?*

Yes
BADASS RUN CLUB SHIRT & DONATION
Badass Run Club Shirt $35 - $40
Attendees are NOT REQUIRED to purchase a run shirt.

These shirts will be mailed to you! They will not be available at the run clubs so hang tight!

Donations to support our run club $5 - $100
Attendees are NOT REQUIRED to donate but we do appreciate the support. (Purchase options are located later in the Registration)
Rock the Bad Ass Shirt Everywhere you go!

Grab a shirt, drop a donation... whatever you feel! I appreciate you!

ALL payments are processed through Paypal
There is a proccessing fee for ALL online payments.

When you click on Continue to Paypal you will be taken to the PayPal website to complete your order. (Be patient, it may take a lil bit.) The screen will look like this:

My Products

BADASS RUN CLUB Shirt (will be mailed to you)$35.00

Get your very own BADASS RUN CLUB Tee

Size	How many?	Price
S		$35.00
L		$35.00
M		$35.00
XL		$35.00
XXL		$40.00

Item subtotal:$0.00

Run Club Donation$ Free

Thank you for supporting the run club!

Your donations help support our efforts

Subtotal $0.00Tax $0.00Shipping $0.00Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

The Fine Print Stuff
Date

MonthDayYear
eSignature - PLEASE NOTE: Press "Enter" Once Name is Entered to submit your entry *
Please note that an esignature is the electronic equivalent of a hand-written signature.
Should be Empty:

Badass Run Club Registration

BADASS RUN CLUB SHIRT & DONATION

Rock the Bad Ass Shirt Everywhere you go!

The Fine Print Stuff