HUNTSVILLE TRACK CLUB, INC.

MEMBERSHIP APPLICATION

Name/s _________________________________________________________________________________

Address ________________________________________________________________________________

City ___________________________________________ State _____________ ZIP __________________

Age/Sex's ______________________ E-Mail Address __________________________________________

Birth Date/s _________________________________ Phone No. (__________)____________-___________

Occupations/s ____________________________________________________________________________

TYPE MEMBERSHIP & ANNUAL DUES

General $12 [____]      Family $15 [____]      Supporter $15+ [____]      Subscriber $8 [____]
If Renewal Also Check Here [____] (Subscriber membership can only be non Madison County residents)

MEMBERSHIP INFORMATION

Annual dues for the Huntsville Track club are $12.00. Dues may be discounted 25% by submitting one (1) CLUB WORKER COUPON and by 50% with the submission of two (2) COUPONS. Renewal discount is limited to 50%. Membership Dues are for a calendar year, payable JANUARY 1 each year. Those joining during the year pay initial dues based on a percent of the annual dues according to the quarter which you join:

100% - JAN/FEB/MAR - First Quarter                      50% - JUL/AUG/SEP - Third Quarter
  75% - APR/MAY/JUN - Second Quarter              125% - OCT/NOV/DEC - Fourth Quarter + Next Year

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 Road Runners Club of America (RRCA), Huntsville Track Club (HTC) and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in club activities even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

SIGNATURE _________________________________________________ DATE ____________________
(Parent's Signature if under 19 years)

Fill out and sign membership application and mail with dues fee to:
HUNTSVILLE TRACK CLUB, 8811 EDGEHILL DR., HUNTSVILLE, AL 35802