Richard Finley 805 Vega Circle Foster City, CA 94404 Date_________________________ New Member___ Renewal___ Name_______________________________________________________ Street_________________________________________ Apt._______ City________________________________ State_____ Zip________ Phone__________________________ Work_______________________ E-mail address_____________________________________________ Birthday_____________________________ M____ F____ If family membership, please list additional names and birthdays: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Are you interested in volunteer work? _____________________ Electronic Newsletter (with $5 discount)___ Snail Mail Newsletter___
I know that running and volunteering to work 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 club
races including, but not limited to, falls, contacts 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 SF Dolphin South End 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 person named in this waiver.
___________________________________________________________________________
Signature/Date
___________________________________________________________________________
Parents signature if under 18 years/Date
Additional clauses: I grant permission to all of the foregoing to use my photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.
I understand that bicycles, skateboards, baby joggers, roller skates,
or blades, animals, and radio headsets are not allowed in the race and
I will abide by this guideline.