YRRC MEMBERSHIP FORM

PLEASE PRINT

NAME: _________________________________ BIRTHDATE:________________

ADDRESS: ______________________________ PHONE NUMBER: ___________

CITY: _____________________________________ STATE: ________ ZIP: ______

E-MAIL ADDRESS: ________________________________

MEMBERSHIP FEE: $15.00 Individual ________ $20.00 Family _______ Renewal ________ $5.00 Youth (under 18 years) ________ For new members the fee is $15/$20 from December on and will include the following year, March to March. (Memberships run from March to March).

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 agree to abide by any decision of a race official relative to my ability to safely complete the run. 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 condition 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 Yellowstone Rim Runners 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 ___________

___________________________________________ DATE ___________
PARENTS OR GUARDIAN’S SIGNATURE (if under 18 years)

PLEASE CHECK BELOW EVENTS THAT YOU ARE WILLING TO HELP WITH:

• RIMROCK CLASSIC             _____
• SHAMROCK RUN                 _____
• WOMAN'S RUN                    _____
• BIG SKY STATE GAMES     _____
• MONTANA MARATHON  _____

Make your check payable to and mail to:

Yellowstone Rim Runners
P. 0. Box 2424
Billings, MT 59103

Check here if you do not want your name____, e-mail address____ or phone number ____ printed in club directory.

Visit us on the Internet at:    members.aol.com/LETSRUN100