Club Membership Application

NAME: ________________________________ Date of birth: __________Male/Female   [circle one]

Address: ____________________________________City: ________________ State: ______Zip_______

Telephone: _______________    Email: ___________________________________

Waiver and Release

I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in cub activities unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all ricks associated with running and volunteering to work in club races including, but not limited to falls contact with other participants, the effects of the weather including high heat and/or humidity, the conditions of the road and traffic on the coarse , all such ricks being known and appreciated by me. Having read this waiver and knowing these facts. and in consideration of your acceptance of my application for membership. I for myself and anyone entitled to act on my behalf, waive and release the Road Runners Club of America, the River to River Runners Club and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in these club activities even though that liability may arise out of negligence or carelessness on the part of the persons names in this waiver. I understand that bicycles, skateboards, baby joggers, roller skates or blades, animals and radio headsets ate not allowed in the races and I will abide by this guideline. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of tis event for any legitimate purpose