WESTERN NATIONAL RUNNING SUMMIT

C.T.M. & New Western Glory present the Western National Running Summit which offers RUNNER ATTRIBUTE DEVELOPMENT (R.A.D.) training that fosters critical attributes which contribute to competitive running ability and performance in runners of all ages. Participants will undergo a variety of training experiences ranging from on-the-track biomechanical assessment to enjoyable mountain trail runs.

There will be two training sessions and two speaking sessions per day (meals are included in the cost). A detailed itinerary with a packing list will be sent to each accepted applicant well in advance of the camp. Campers will be required to bring a sleeping bag and a camping-pad or matress.

Click on the HD button (if available) to select video quality; the above video is a description of the camp

The Summit will be held at Camp Lamoille (owned by the Lions Club) There will be some camping areas available to a limited number of families who might wish or need to stay at this site during the week (you may be encouraged to volunteer); we have special camping areas for regular staff. Except for the dropping off of participants, motor-homes are not allowed on the premises. There are other options available nearby to families who want to be separate from the campground (one such campground: http://www.fs.usda.gov/recarea/htnf/recreation/cam... has reserved camping). For additional inquiries, contact Todd Nunan at (530-277-5653).

Runners who wish to register by mail may access a form from http://www.nwglory.com/assets/nwg5assetts/brochure...

Participant Contact Information

Name

Phone Number

Emergency Phone

Address

Medical Information

Event insurance pending; contact us if you have specific limitations in your insurance policy; there are options available.

Medical Insurance

Name of Insured

Policy #:

Group #

Family Physician & Phone and existing medical conditions and limitations

Medical Release & Waiver

I hereby authorize my child's participation in the Western National Running Summit and I authorize the Summit staff to attend to any medical emergency my child may incur. I understand my child must have current medical insurance in order to participate.. I (me) and my child acknowledge that naturally caused physical accidents can occur and that we will not hold the above mentioned event organizers or their staff liable for injuries that are common to physical training and trail running as well injuries caused by unforeseen natural hazards (to be signed by a parent or guardian).

I, the undersigned, agree to the terms above.

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Registration Information

Camp Registration

Early Registration-by June 18, 2017 ($230.00)
Standard Registration-by July 12, 2017 ($250.00)
Commuter Registration-meals included/no overnight lodging ($165.00)

Date of Birth

Gender

Male
Female

Describe your current training status (miles per week, race times with race distance for recent competitions etc.)

T-Shirt Size

Total

$0.00

Total

$0.00

Terms & Agreements

Special conditions which affect either your ability to pay online or your insurance coverage must be made through the camp administration ( CTM: [email protected] or [email protected] ); We have mail-in registration forms if you prefer to pay by check. No refunds after June 18 2017.

Terms & Agreements

Release and Waiver
I hereby authorize my child's participation in the Western Intermountain Distance Running Summit and I authorize the Summit staff to attend to any medical emergency my child may incur. I understand my child must have current medical insurance in order to participate.. I (me) and my child acknowledge that naturally caused physical accidents can occur and that we will not hold the above mentioned event organizers or their staff liable for injuries that are common to physical training and trail running as well injuries caused by unforeseen natural hazards.
¬¬¬¬¬¬¬¬Signature of Parent or Guardian:
_____________________________________________Date:_________

The cost of the camp is $239.00 ($199 if paid, postmarked, on or before Sat. June 18)
Mail to:
New Western Glory
c/o Todd Nunan
2030 Bench Road
Pocatello, ID 83201

I have read and agree to the terms above.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Pay By Check in Advance or Upon Arrival

Credit Card

Visa
Mastercard
American Express
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Address

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