|Step 1 of 2 - Family Membership Registration|
|Primary Member's First Name|
|Address 1||Address 2|
|State / Province|
Use 2 digit code for US and Canada
otherwise, leave blank.
|Country, if outside of the U.S. and Canada|
Leave blank if address is in US or Canada.
|Zip / Postal Code|
|Head of Family's Home Phone||Other Phone|
|Primary Member's Email Address|
Your active Email Address... check for accuracy.
|Primary Member's Date of Birth|
M for Male, F for Female.
Special Class Selection
Required... ... Please choose your membership special class: "New Membership", or "Renewal Membership".
Primary Member's Occupation
Required... Please list your occupation.
Optional... Support your club with an additional donation!
Recommended optional donation:
$25 : Miler, $50 : 10K, $100 : Marathoner, $250 : Ultra
(enter numerals and decimal only)
Total Number of Members for Your Family (2 minimum to 10 maximum)
Total number of members for your family... You plus the number of your family members.
Example... Let's say your family is made up of you, your spouse, and two children.
You + Spouse + 2 = 4
I know that running and volunteering to work club races are potentially hazardous activities and I should not participate unless medically able and properly trained. I agree to abide by any decision of race officials regarding my ability to safely complete the run. I assume all risks associated with running and volunteering to work club races, including but not limited to falls; contact with participants; effects of weather, including heat, humidity, cold; road conditions and traffic on the course and all such risks known and appreciated by me. Having read this waiver, and knowing these facts, and in consideration of your acceptance of this application for membership, I, for myself and anyone entitled to act on my behalf, waive and release the Road Runners Club of America and Starved Rock Runners, Ltd. and all sponsors, their representatives and successors from all claims and liabilities of any kind arising out of my participation in club activities even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Agree to waiver by checking here.
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process.