Club Membership Application Waiver
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, 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, 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 Syracuse Track club, the USATF, 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.
 
  * Full Name (please print)                                                                  Signature                                                                                             Date
  * Mailing Address                                                                        Street                                                                                                     Apt. No.
  City                                                                                                       State                                                                                                      Zip * Birth date                                                                    * Home Phone * Business Phone                                                                       * e-mail address

I would be interested in participating in the following committees:
 

* Coaching      * Publicity/Public Relations        * Fun Runs        * Road Races       * Youth  * Competitive Teams - M      * Competitive teams – F *       Newsletter       * Training Runs      * Social Events

 
 
 
 

* I would like to contribute to the STC Scholarship Fund.  Please accept my voluntary contribution in the amount of: $________.____.
 

Membership Dues:  $5 Individual - 17 and under   $13.00 Individual, 18 and over   $20.00 Family (1 household)