AIKEN RUNNING CLUB

Complete this form, then pay securely ($15.00) through paypal....

First Name
Last Name
Street or PO BOX
City
State
phone	()-
Date of Birth (mo/da/yr)	//
Gender	Male Female
Email	(not sold or distributed)
Type of Membership	New Membership Renewal

Please list Add'l Family Runners
Full name	DOB (mo/da/yr)	//
Full name	DOB (mo/da/yr)	//
Full name	DOB (mo/da/yr)	//

CLUB MEMBERSHIP APPLICATION WAIVER (Required by RRCA for insurance purposes) "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 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 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 Aiken Running 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 persons named in this waiver."

You will now be directed to the Paypal Screen...