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MERCED RUNNING CLUB MEMBERSHIP APPLICATION

Please accept this invitation to join the Merced running Club (MRC). To join, please take a few moments to complete the form below, make out your check payable to the Merced Running Club,  and drop it in the mail or give it to a MTC officer. Benefits of Merced Running Club membership include:
APPLICATION AND 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 Road Runners Club of America, the Merced Running 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 persons named in this waiver.

SIGNATURE, REQUIRED__________________________________________ DATE__________

Type in the information below on your computer.  Then print the form, sign it, and send it in with your payment.

   Name: 
Address: 
   City: 
  State:     Zip:   Email: 
         Home Phone:        Work Phone: 

Ken Schwisow Memorial Scholarship

Donations will go to the Merced, Golden Valley, Atwater and Buhach Colony High School qualifying students who are in track and field, cross country, or who are members of MRC and have at least a 2.75 grade point average.  Click here for details of the scholarship.  If you would like to make a donation to this scholarship, include the amount with your membership fee below.

5K Donation
10K Donation
Marathon Donation
Ultra Donation
$5 $10 $25 $__________

You can pay for one or two year's membership at the same time.
Check one:
NEW MEMBERSHIP  RENEWAL
Check one:
INDIVIDUAL MEMBERSHIP--1 YR: $15.00  FAMILY MEMBERSHIP--1 YR: $20.00  HIGH SCHOOL STUDENT--1 YR: $10.00
INDIVIDUAL MEMBERSHIP--2 YR: $30.00  FAMILY MEMBERSHIP--2 YR: $40.00  HIGH SCHOOL STUDENT--2 YR: $20.00

Scholarship donation (if desired): $
     Total enclosed: $

Please list yourself and all members of your family who wish to join:
(One address per family membership)
1.
2. 3.

4. 5. 6.

Make check payable to Merced Running Club.  Print this form, complete it, and return the application and payment to: MRC Membership
Merced Running Club
PO Box 3710
Merced, CA  95344
Each year $1.25 of your membership dues will go toward publication of the RRCA magazine "Footnotes".
Revised: 03/15/13

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