BRRC Membership Application Form
Please complete the following information form and hit Submit button below.


    The Baltimore Road Runners Club
   Membership Application and Renewal Form ...

  1. Please provide the following contact information:

    Last Name  
    First Name  
    Gender  
    Birth Date
    Month/day/Yr
     --
    Street Address  
    Address (cont.)
    City  
    State/Province  
    Zip/Postal Code  
    Work Phone
    Home Phone  
    E-mail  
    Occcuption  

     

  2. Please provide the following ordering information:

    MEMBERSHIP  TYPE   
    club membership
     Student (Under 18 Years old)
    FAMILY MEMERS
    FIRST NAME                                           Birth Date (M/D/YR)                       GENDER
                     --                      
     

                     --                      

                     --                      

                     --                      
     

      CLUB MEMBERSHIP WAIVER: I know that running and/or volunteering to work club races is a potentially
    hazardous activity. I should not enter and/or run in club activities unless I am medically able and properly trained. I
    agree to abide by any decision of race officials relative to my ability to safely enter a race or run. I assume all risk
    associated with running and/or volunteering in club sponsored events, including but not limited to falls, contact with other
    participants, the effects of weather, road and traffic conditions, course difficulty, and terrain; all risk being know and
    appreciated by me. Having read and understand the facts stated in this waiver and in considerations of acceptance of my application for membership, I , for myself, my heirs and anyone entitled to act on my behalf, waive and release the Road Runners Club of America, the Baltimore Road Runners Incorporated, and all sponsors their representatives and successors from all claims of 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 one or more parties in this waiver.

    
    



         
 


Copyright © 2004 [Baltimore Road Runners Club]. All rights reserved.
Revised: 11/29/06