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West Virginia Mountain Trail Runners
The WVMTR is a club for runners of all abilities. Membership entitles you an active and voting role in the organization, the opportunity to enjoy a number of WVMTR events, meet some great folks and have some fine trail running experiences. Name_________________________________ Male ____ Female____ Birthdate___________ Address____________________________ City __________________State ____ Zip ________ Phone ________________________ Email ___________________________________ Individual $10 _____ Family $15 ______ Donation _______ 501(c)3 tax deductible Additional family members Name_________________________________ Male ____ Female____ Birthdate___________ Name_________________________________ Male ____ Female____ Birthdate___________ Name_________________________________ Male ____ Female____ Birthdate___________ Waiver The WVMTR has obtained an
insurance policy that covers all sanctioned events and club activities including
races, fun runs, picnics, meetings and expos. Please sign this waiver to be
covered by our policy. This will be kept on file.
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 WVMTR, the West
Virginia Mountain Trail Runners, all organizers and sponsors and supporters,
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___________________________________________ Date____________ Signature___________________________________________ Date____________ Send to: WVMTR PO Box 18 Helvetia, WV 26224 .......and thanks |