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First Name *

Last Name *

Email *

Cell Phone *

Yes to receiving Monday texts and good deets for your weekly workouts. You can reply STOP to unsubscribe at any time, but I hope you don't 😉 I will not spam you, or sell your info to anybody. Xo Heartbeat for Jesus, Inc. ❤️

LETS CHAT ABOUT YOUR TRAINING:

Choose one: *

I have registered for the 5k race on May 10, 2025

I plan on registering for the 5k soon

I want to do the training that starts on March 31st only (no race)

I want to be on team: *

Walk one mile every day for 40 days

5k run training program (3 days per week of structured training)

What is the longest distance you can CURRENTLY run without stopping? *

Less than 1 mile: beginner plan (new to running or coming back to running after time off)

2 to 3 miles: intermediate plan (build endurance and strength)

More than 4 miles: Advanced plan (works on pacing and set new PR)

Do you have any specific goals for this 5K training program?

🏆 Finish my first 5k - rockstar

💪🏼 Run the entire 5k without stopping - crushing it

🎉 Improve my speed + PR - aww yeah

Tracking your training... which one do you have:

GPS running watch like Garmin or Coros

Smartwatch like Apple or Fitbit

Phone App example Run-keeper

Are you comfortable with the idea that the beginner + intermediate plan prioritizes moving at a slower pace, mostly including walk breaks, to stay within your Zone 2 heart rate? And the advanced plan will probably have you run slower than you do to stay in zone 2 according to the 80/20 philosophy?

yes: zone 2 glow sounds great

no: its all out no-pain-no-gain for me

What inspired you to join us? Click as many as applicable:

I want to bring Faith + Fitness together

I've struggled with burnout and need a fresh, spiritual approach to wellness

To have fun and meet new people

To challenge myself + try something new

For accountability + fellowship

The idea of strengthening both my body and my walk with Jesus really speaks to my heart

How did you hear about HEARTBEAT FOR JESUS? *

WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT HEARTBEAT FOR JESUS 40-DAY TRAINING PLAN & 5K RACE

This Waiver of Liability, Assumption of Risk, and Indemnity Agreement (the "Agreement") is executed by the undersigned participant ("Participant") in favor of Heartbeat for Jesus, Inc. ("Organization"), its officers, directors, employees, agents, affiliates, sponsors, volunteers, event coordinators, and any other parties involved in organizing or supporting the 40-Day Training Plan and the Heartbeat for Jesus 5K event ("Event").

1. ASSUMPTION OF RISKI understand that participating in a structured physical training program and a 5K race involves inherent risks, including but not limited to falls, collisions, overexertion, dehydration, heart complications, muscle and joint injuries, heat-related illnesses, exposure to weather conditions, and any other risks associated with physical activity. I voluntarily assume full responsibility for any and all risks, known or unknown, associated with my participation in the training program and the Event. *

yes

2. RELEASE AND WAIVER OF LIABILITY:I hereby release, discharge, and hold harmless the Organization and all related parties from any and all liability, claims, demands, actions, or causes of action related to any loss, damage, injury, illness, or death that may result from my participation in the 40-Day Training Plan and Event. This release includes, but is not limited to, claims based on negligence, gross negligence, or any other legal theory of liability, except for intentional misconduct or recklessness. *

yes

3. MEDICAL CONSENT AND FITNESS TO PARTICIPATE:I affirm that I am in good physical condition and have consulted a physician regarding my ability to participate in this training program and Event. I acknowledge that I am solely responsible for monitoring my health and fitness during the training and race. In the event of an emergency, I authorize medical personnel to provide necessary treatment, and I accept full responsibility for any associated costs. *

yes

4. INDEMNIFICATION:I agree to indemnify and hold harmless the Organization from any and all liabilities, costs, damages, and expenses (including reasonable attorney’s fees) arising from my participation in the training program and Event, including claims brought by third parties due to my actions or negligence. *

yes

5. PHOTO AND MEDIA RELEASE: I grant the Organization permission to use my name, image, likeness, and any photographs, videos, or media taken during my participation in the training program and Event for promotional, educational, or informational purposes without compensation or restriction. *

yes

6. SEVERABILITY: If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect. *

yes

7. GOVERNING LAW: This Agreement shall be governed by and interpreted in accordance with the laws of the State of Florida *

yes

8. ACKNOWLEDGEMENT AND AGREEMENTI acknowledge that I have read and understand this Agreement, and I voluntarily sign it, intending to be legally bound. I understand that I am waiving substantial legal rights, including my ability to sue the Organization for any injury or loss sustained as a result of my participation in the 40-Day Training Plan and Event. *

yes

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