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MEMBERSHIP APPLICATION (or renewal)

  1. Print this page
  2. Fill out the form
  3. Send it with your check or money order to:
Kalamazoo Area Runners
PO Box 3302,
Kalamazoo, MI 49003-3302

KALAMAZOO AREA RUNNERS/BATTLE CREEK ROAD RUNNERS MEMBERSHIP APPLICATION (or renewal)

Name__________________________________________________________

Address________________________________________________________

City_____________________________________State____Zip____________

Sex_____ Birth Date (MM/DD/YYYY)_______________

Phone(Home)______________________(Business)______________________

E-mail _________________________________________________________

Would you like to be on the KAR/BCRR E-mail list? _____

Applicant Signature________________________________________________

If under 18, parent's signature_________________________________________

In consideration of accepting my membership form, I hereby agree for myself, my heirs, executors, and administrators, to waive and release all rights and claims for damages I may have against the Kalamazoo Area Runners its race sponsors, officers, directors and members and their agents, representatives, successors and assignees for any and all injuries suffered by me as a result of a participation in any Club activity or run, or which may arise out of my traveling to, participating in or returning from such events. Further, I agree to indemnify and hold harmless the Kalamazoo Area Runners, its members, officers and directors from any liability or expense resulting from my participation in any Club event.

__ New __ Renew

__ Individual $15

__ Family $20 (list family member(s) below)

Name___________________________________ Sex ___ Birth Date __________

Name___________________________________ Sex ___ Birth Date __________

Name___________________________________ Sex ___ Birth Date __________

__ I would like to volunteer for the Kalamazoo Klassic
__ I would like to volunteer for other Club Activities