This is not an online form. It is intended to be printed and mailed.  

 Baltimore Road Runners Club Membership
 Application
 _________Renewal _________New Membership  

 _________Address/Phone Change from last year  ___No change  

 Annual DUES: check one  ___ Individual $20.00  ___Family $25.00
                         ___ Youth (under 18) $15.00
  
 Make Check Payable to: Baltimore Road Runners Club  

 The first day of the month in which you pay your dues is your Anniversary Date 
 for membership. The expiration date will be indicated on your mailing-address 
 label, and you will receive a renewal application 30 days before this date.
 $1.25 of your dues goes to RRCA national office to pay for your subscription
 to Footnotes magazine.  

    Name_____________________________________________  

    Address___________________________________________  

    City/State______________________________Zip__________

    Age ______     Sex _______   

    Home Phone_________________Work Phone______________  

    Birthdate____________________Fax #___________________  

    E-Mail #___________________________________________  

    Include Other Family Information Here:

    Name                              Birth Date       Gender

    ________________________________  _______________   ____

    ________________________________  _______________   ____

    ________________________________  ________________  ____

 Membership Qualifications - None.  

 Benefits:  

     Newsletter four times a year with club news, events and a local race  schedule. 
     Camaraderie with 900-plus other "BRRCers" 
     Training groups meet regularly on Tues, Wed, Sat and Sun 
     The club hosts two or three social gatherings annually. 
     
 Please check the function at which you would like to help:  

   1.Newsletter___________________ 
   2.Social Events________________ 
   3.Club Races___________________ 
   4.NCT Marathon_________________ 
   5.Avon Women's Race____________ 
   6.Place for Your Pace__________


 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 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 Baltimore Road 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  

 __________________________________________________  

 Parent's signature if under 18 yrs. Date  

 Mail to: Baltimore Road Runners Club, P.O. Box 9825  Baltimore, MD 21284