| Oak
Ridge Track Club |
|
Membership Application |
| To
join, print and fill out this application and mail to: |
|
|
Street _______________________________________ APT # __________ City _______________________________ State ___ ZIP _____________ Birth date (mm/dd/yy) ____________ Gender: Male Female Work Phone _____________________ Home Phone _______________________ E-Mail ____________________________ Fax __________________________ |
| Please list the name, sex, and birth date of family members below: |
| ____________________ _____ __________________ ____________________ _____ __________________ ____________________ _____ __________________ ____________________ _____ __________________ ____________________ _____ __________________ ____________________ _____ __________________ |
| Club Waiver: I understand that running and volunteering to work in club races are potentially hazardous activities. I shall not enter into club events or volunteer for work in club activities including races unless medically able and adequately trained. I agree to abide by the decision of any club official relative to my ability to complete a run or work. I assume all risks associated with participating in club sponsored runs or volunteer work, including but not limited to falls, contact with other participants, weather effects including high heat and/or humidity or severe cold, and conditions and hazards related to roadway traffic. Having read and understood this, I on behalf of myself and acting on behalf of members of my family waive and release the Road Runners Club of America, the Oak Ridge Track Club, and all sponsors and their representatives and successors from all claims or liabilities of any kind arising from my participation in club activities even though that liability may arise out of negligence or carelessness on the part of the persons named on this waiver. |
| Signature(s) __________________________ Date______________________ |