CITRUS ROAD RUNNERS MEMBERSHIP APPLICATION
“A portion of your annual dues
goes to the RRCA for your subscription to the quarterly magazine, Foot Notes,
that you receive as a member of the Road Runners Club of America.”
NAME:
ADDRESS: CITY: STATE: ZIP: ____________
HOME PHONE: WORK PHONE: e-mail:
DUES: STUDENT: $5.00-YR MAKE CHECKS PAYABLE TO:
INDIVIDUAL: $24.00-YR CITRUS
ROAD RUNNERS CLUB
(Individual memberships include up to 3 household runners) P. O. BOX 94
INVERNESS FL
34451-0094
NEW_________RENEWAL________
CLUB MEMBERSHIP APPLICATION
WAIVER
I know that running and volunteering
to work in club races are potentially hazardous activities. I should not enter and run in club
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 risks 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 course, all
such risks 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, waiver and release the Road Runners Club of
America, the Citrus Road 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.