RSVP Form for BEYOND the Heart Walk
Please fill out this form to confirm your attendance for any (or all!) of our "Heart Walk" related events in March and April. Join us as we come together with the American Heart Association to kick-off healthy heart awareness BEYOND the Heart Walk with activities, engagement, and even walks with cardiologists thanks to both TMC Health and Banner University Medicine.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Select the Events You Will Attend (you can come to ALL or as many you like!)
Monday, March 23rd
Monday, March 30th
Monday, April 6th
Have you attended a Meet Me event in the past?
Yes
No
Unsure
Would you like to participate in any of our guided walks? Self-guided walks are also an option. We can help you with this when you check-in.
Yes, DocWalk
Yes, other guided walk
No, self-guided walk
Not sure yet
How did you hear about this event?
American Heart Association newsletter / social media
Banner Health newsletter / social media
TMC Health newsletter / social media
Beyond / Meet Me Monday newsletter / social media
Not sure
Participation Waiver
~ Physical Activity and Training Program ~This form is an important document. It explains the risks you are assuming byparticipating in an exercise program. It is critical that you read and understand itcompletely.I have volunteered to participate in a program of physical exercise (“Program”) underthe direction of BEYOND staff and volunteers, which may include, hiking, walking,running, biking and other various guided activities. Program may occur at various locations in, and around Tucson and the surrounding area, or other locations within thecity of Tucson or Pima County (“Program Location”) and the surrounding area.I understand that this event may take place in high heat and/or in darkness, with allattendant risks. I agree to obey all traffic laws and to walk/run defensively.I also give permission for the free use of my name and picture in any broadcast,telecast, digital or print media account of this event. I acknowledge and agree that nowarranties or representations have been made to me regarding the results I will achievefrom this Program and I understand that results are individual and may vary.To the best of my knowledge I am in good physical condition and have no disease,physical limitation, health concern or injury that would be aggravated or would be thecause of any injury sustained, before, during or as a result of my participation inactivities related either directly and/or indirectly to this program(s). Because physicalexercise can be strenuous and subject to risk of injury, I understand that I shouldconsult my doctor prior to beginning any type of exercise or physical activity. If I haveelected not to obtain my doctor’s permission prior to participating in this Program withBEYOND, I understand and acknowledge that I am participating at my own risk. Iacknowledge that the possibility of an injury and or certain unusual physical changesmight occur during exercise including abnormal blood pressure; fainting; disorders inheartbeat; heart attack; and, in rare instances, death.I release, discharge and hold harmless BEYOND staff and volunteers, and all sponsorsof the event, and its respective agents, contractors, and employees from and againstany and all claims and damages, present or future, arising out of or in connection withmy participation in this Program at any Program Location including injuries resultingthere from.I agree to comply with all policies and rules, signage, and instructions regardingCOVID-19 while attending the Program. I understand that the Program Location is openfor use by other individuals and as such, I acknowledge that there is a higher risk ofexposure to COVID-19.I fully understand any additional risks and I release, waive, and discharge BEYOND,staff and volunteers, and all sponsors of the event, and its respective agents,contractors, and employees from any and all liability, claims and causes of actiondirectly or indirectly arising out of or related to any loss, or injury that may be sustainedby me related to COVID-19 whether caused by the organizer, any third-party using theProgram Location, or otherwise, while participating in any activity while in, on, or aroundthe Program Location and/or while using any Program facilities, tools, equipment, ormaterials.
Please provide your signature to acknowledge the waiver
*
Submit RSVP
Should be Empty: