WAT Individual Registration Form

I wish to participate voluntarily in the Walk Across Tennessee physical activity for the purpose of personal fitness. I understand that I should have medical approval from my health care professional if I:

have any chronic health problems such as heart disease or diabetes.
have pains in my heart/and or chest areas.
feel dizzy or have spells of severe dizziness.
have a bone or joint condition, like arthritis, that might be made worse by an exercise program.
have been told by a doctor that I have high blood pressure.
have any physical conditions or problems that might require special attention in an exercise program.
am a male over 45 or female over 50 and not accustomed to vigorous exercise.

Participants under age 21 must also have parent or guardian approval.

I agree to this waiver and agree to accept full responsibility for any injuries I may sustain while participating in this program and hold harmless all Sponsoring Parties.