RENEWING__ (Only Update Above Line If Info Has Changed)

Membership Form 2008-9

RENEWING__ (only update above line if info has changed)

NEW___ (please fill in all fields)

Name (this we need!) ______

AddressSame  - New ______

City ______P.CodeSame - New ______

Res. phoneSame - New ______
Bus. phoneSame  - New ______x _____

E-mail: ______

Same  - New  (…all Club news is by Email - must include this)

Employer______Position______
Sex___ Same!  Birth: [m]______[d]____ [y](opt’l)______

Major corner near home: Same  - New ______

Running (# done if known): 5k _____ 10k_____

½ Mara # _____ Marathons done_____

Signif. Other______Phone ______

(in case of emergency) (if different from above)

Club Volunteering – I can assist with:

Scotiabank Toronto Waterfront Marathon Water Station ___

Social events___ New event like ______

Clothing What would you be prepared to purchase if the club organized club-branded clothing over the next 6 months? And what size would you be for each? Technical tank top ___ (Sz. ___)

Technical T-shirt ___ (Sz. ___) Running Jkt ___ (Sz. ___)

Wind vest ___ (Sz. ___) Fleece vest ___ (Sz. ___)

Other (describe) ______

Privacy: We respect your privacy. Only the Club Exec has access to your personal information – this is for the purpose of contacting you for events and information – it is not made public. We will publish race results occasionally as they’re public information. What can we provide members?

Your phone #___ Email___ Any___ None___

Sign waiver, give or mail cheque & form to:

TORONTO RUNNING CLUB

c/o Michael Brennan

73 Wagon Trailway, TorontoON M2J 4V4

Waiver and Release of Liability – You must sign

I am participating in this club at my own risk and waive all claims against Toronto Running Club, its Executive members, Marathon Dynamics Inc., the North Toronto Memorial Community Centre, City of Toronto Parks and Recreation, The City of Toronto, and all other associations, sponsoring companies and sanctioning bodies, in respect to any personal loss or damage, illness, bodily injury or death resulting from participating in the club or caused by third parties during club activities. I understand the physical risk and rigors of these activities and have prepared myself physically for them. I assume the risks of running on or near the roads. I agree to keep confidential any personal information about club members I receive from the club. By signing below I acknowledge having read, understood and agreed to this waiver and release of liability.

______/______

SignatureDate

CLUB REGISTRAR: Amount rec’d ______Paid by cash__chq__