LOWER ARDEN TRACK CLUB
MEMBERSHIP APPLICATION
RRCA Club 1381

Name: _____________________________________________________

Address: ___________________________________________________

Address: ___________________________________________________

City: ______________________________________________________

State: ________ Zip Code: _________ T-shirt Size(s): (circle) S  M  L  X

Phone: (____) _____- ________ (H) E-mail: ________________________

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 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 weather, including extreme 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 Lower Arden Track 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.

Waiver must be signed. __________________________________________
                        SIGNATURE (Parent or guardian must sign for minor children)

Annual dues for the LATC are $10.00.  $1.25 of this amount is for a subscription
to the RRCA's quarterly magazine, footnotes, for one year.

Print this page and mail to:
LATC
16 Albemarle Road
Asheville, NC 28801

(Don't forget to include your check)