| Ouachita Valley Road Runners Club | |||||||||
| Membership Application/Renewal | |||||||||
| Your Name: | |||||||||
| Your Mailing Address: | |||||||||
| Your E-mail Address: | |||||||||
| (For Receiving Club | |||||||||
| Newsletter and Updates) | |||||||||
| Names of Additional Family | |||||||||
| Members to Enroll in the Club: | |||||||||
| (No Additional Charge) | 1) | ||||||||
| 2) | |||||||||
| 3) | |||||||||
| 4) | |||||||||
| 5) | |||||||||
| Annual Fee: | |||||||||
| New Club Member | |||||||||
| (At Any Time of Year) | $20.00 | ||||||||
| Renewing Member | |||||||||
| (If Renewing Prior to | |||||||||
| February 1) | $20.00 | ||||||||
| Renewing Member | $25.00 | ||||||||
| (If Renewing After | |||||||||
| January 31) | |||||||||
| 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 decisions of a race official relative | |||||||||
| to safely completing a run. I assume all risk associated with running and volunteering to work in club races including, but | |||||||||
| not limited to, falling, contact with other participants, the effects of 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 Ouachita Valley Road Runners Club, Inc. and all | |||||||||
| sponsors, their representatives and successors from all claims or liability of any kind arising out of my participation in these | |||||||||
| club activities even though that liability arise out of negligence or carelessness | |||||||||
| Your Signature: | |||||||||
| Todays Date: | |||||||||
| Please Mail This Form | |||||||||
| Along with Check to: | |||||||||
| OVRRC | |||||||||
| P.O. Box 2572 | |||||||||
| Monroe, LA 71207 | |||||||||