Run for Mom: Learn to Run Clinic

April 1st - May 6th, 2025 (every Tuesday)Whitehorse, Yukon

# of individuals you want to register

* Required fields

First Name *

Last Name *

Date of Birth (YYYY *-MM-DD)

/ /

Phone Number - International Number

Emergency Contact

Emergency Contact Phone Number * - International Number

I have read and agree *
AY Waiver

Digital signature (type your name exactly as entered above "registrants name") *