Please Print out and mail completed form(s) and check to:

Please make checks payable to "Parkway Running Club"

Membership Application & Renewal Form

Name __________________________________ Date of Birth ___________________

Address ______________________________________________________________

City ___________________________________ State___________ Zip ___________

Home Phone ______________________________

Work Phone _______________________________

Email Address _______________________________

Favorite Distances:

Newsletter Delivery Preference: Electronic ________ Mail _________

Participant / Volunteer Waiver To be signed by each new member in the household. Applicants under 18 require signature of parents.

I know that volunteering to work and participating in Parkway Running Club events is potentially a dangerous activity. I should not participate or volunteer unless I am medically able. I assume all risks associated with participating in or volunteering at Parkway Running events, including, but not lmited to, falls, contact with participants, the effects of the weather, conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing the facts, I, for myself and anyone entitled to act on my behalf, waive and release the Parkway Running Club, its representatives and successors from all claims or liabilities or any kind arising out of participation in Parkway Running Club activities, even though liability may arise out of neglegence or carelessness or the part of the person named in the waiver.

If you prefer not to have the information above available to club members
or located on the PRC Web Site please indicate by checking the box Below.
Do not post: ___________

Signature ____________________________________Date ___________________