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November 14th, 2018
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Online registration for this Event is scheduled to be open through Monday December 31st, 2018 - Midnight (USCT). To register for this event please complete the form and click the Continue button below.
Race Information
Race Name:2018 Starved Rock Runners, Ltd. Membership Application
Location:LaSalle/Peru
State:Illinois, United States
Posted:September 20th, 2017 2:52 pm
Last Update:October 28th, 2017 1:50 pm
 
Race: Logo
Event Information
Name of Event:Membership - Family
Distance:0.00
Measurement:Hours
Date:Monday December 31st, 2018
Start Time:11:59 pm
Special Instructions:
Intended for three or more people. Common address, Single Newsletter delivered in odd month.
Minimum Age:5
Maximum Age:99
Event Registration Schedule
Opened:Saturday September 30th, 2017Midnight
Register by:Monday December 31st, 2018Midnight $31.00
Unless otherwise noted... Registration Dates & Times are based upon: U.S. Central Standard Time
 
This race features 3 events. Please checkmark to verify your registration intentions for:
Membership - Family 0 Hours 3 Member Team
To choose a different registration, click its name below:
Membership - Individual • 0 Hours
Membership - Couple • 0 Hours 2 Member Team
Step 1 of 2 - Family Membership Registration
Primary Member's First Name
 
Last Name
Address 1
Address 2
City
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

Format: YYYY-MM-DD
Sex

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 Donation

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


Waiver
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.
Enter additional Family Member(s) below. Do not re-enter Primary Member!
Additional
Family
Member
First NameLast NameDate of Birth
Format: YYYY-MM-DD
SexEmail AddressOccupation
Optional... Member's occupation
1:
2:
3:
4:
5:
6:
7:
8:
9:

Confirm your responses above... then click Continue to advance to Step 2.
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