2011 Westminster Road Runners Club
http://www.carr.org/~wrrc
Application for Membership
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 work in the 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, and all such risks being
known and appreciated by me. Having read this waiver and knowing the facts, and in consideration of your acceptances
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 and the Westminster Road Runners Club and all sponsors (including the Carroll County Public
School System), 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.
Annual dues for the 2011 in the Westminster Road Runners Club are:
$15.00 - Individual
$20.00 - Family
$ 5.00 - Student
Membership Type:
_____ Individual, $15.00 _____ Family, $20.00 _____ Student (21 and younger), $5.00
Name(s): ____________________________________________________________________________
Address: ____________________________________________________________________________
City: _______________________________________ State:__________________ Zip:_____________
Telephone: _____________________________________
Email: ________________________________________
Newsletters (3 per year) delivered by MAIL?* Yes or No
(*All members providing email addresses will receive a digital copy of the newsletter as a PDF. Each newsletter is also
posted as a PDF on the Club website -- click on Newsletter on the left side.)
___________________________________________________________________________
Signature of member and Date
___________________________________________________________________________
Signature of member and Date
___________________________________________________________________________
Signature of member and Date
Send application with annual dues to:
Liuda Galinaitis, 1796 S. Pleasant Valley Road, Westminster, MD 21158