GTD Winter Conditioning Program Sign-Up Form

To participate in the 2020-2021 GTD Winter Conditioning Program, complete the form below.
You have 2 options for completing your registration:
(1) You may submit your registration online by clicking the Submit Profile Form button, and submiting your payment via PayPal by going to the GTD Winter Program Payments page.
(2) You may print and mail your registration with your payment, made out to GTD, to:
Going the Distance, 29 Buckingham Road, N. Andover, MA 01845.
Please note: Your registration is not completed until payment is made.

Participant's Name:
Address:
City/State/Zip:
Date of Birth:
Age on December 14, 2020:
Male/Female: Male || Female
Primary Phone:
Alternate Phone:
Athlete's E-mail address:
Parents' E-mail address:
School and Grade:
Event(s):
Personal Best (event/time):
Cross-training resources (indoor bike / treadmill / other):
Most miles you've run in a week:
Longest run ever done:
How many days you normally train during track season:
Current Health (include any current injuries or health concerns):
Additional Information:
Program Fee: $200
Payment Choice: I am paying via PayPal
I am sending a check
Signature:

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