East River Park Track Club Membership Application. Annual individual membership is $40, Under 18 is $10

2012 membership registration in now open. New members can join for the remainder of 2011 and 2012. Current members have until January 31, 2012 to renew.

Annual membership is $40, under 18 is $10. You will be prompted to pay with PayPal after the membership application is submitted. Please use the downloadable Membership Application (pdf) form If you are planning to pay by check.

Membership options

Gender

Date of Birth

First Name

Last Name

Middle Initial

Street Address

City

State

Zip Code

Primary Phone

Alt Phone

E-mail address

Emergency Contact

Emergency Contact Phone

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I know that running and participating in club workouts/races are potentially hazardous activities. I understand I should not enter and run in club activities unless I am medically able and properly trained. I assume all risks associated with running in club races including, but not limited to, falls, contact with other participants, the effects of the weather, including 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 East River Park Track 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 persons named in this waiver.