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It's time to join or renew membership in the
Tunder Mountain Running Club! Please fill out and sign this form and turn it in to a
TMRC Officer at a TMRC race or mail to:
Harry
or Sharon Dubinick,
3704 Finch Circle, Sierra Vista, AZ 85650,
803-7109. Make check payable to: Thunder Mountain Running
Club. Dues are: Family - $15. Single > 18 years - $10. Single
< 18 years - $2. A portion of your membership fee goes toward RRCA (Road Runners
Club of America). Membership:
Join between 1 January and 30 June, membership expires 31 December.
Half-Year Membership: Join between 1 July
and 30 September, membership is 1/2 price and expires on 31 December.
Bonus Membership: Join between 1 October and
31 December, membership expires 31 December the following year.
Name
____________________________________________________________________
Address
__________________________________________________________________
City/State/Zip
______________________________________________________________
Phone _____________________________
Number/Names of Family Members
_____________________________________________
Email Address
_____________________________________________________________
Would you like to be included on TMRC emailing list? (No
more than 3 emails a month) _____
Email list will not be released to
outside agencies, and is used to notify club members of race
location and time changes,
meetings, soft copy of the TMRC Newsletter, Grand Prix
event statistics, etc.
Information for Grand Prix Event Statistics (*Age as of 1 Jan for event
year)
Primary Member Name __________________________________ Sex (M/F)_____
Age* _____
Primary Member Name __________________________________ Sex (M/F)_____ Age* _____
Primary Member Name __________________________________ Sex (M/F)_____ Age* _____
Primary Member Name __________________________________ Sex (M/F)_____ Age* _____
Primary Member Name __________________________________ Sex (M/F)_____ Age* _____
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 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, waive and release the
Road Runners Club Of America, the Thunder Mountain Running 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 named in this waiver.
_______________________________________________________________________________________
Signature
Date
_______________________________________________________________________________________
Parent Signature if under 18
Date
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