Membership Form - Michiana Runners

Benefits of joining the MRA Access to the MRA website, the premier source of local running information - news, current running weather, group runs, upcoming events, local running calendar, and the MRA Message Board, an interactive bulletin board allowing runners to communicate with other runners. Access to race and retail discounts, training programs, coaching, and resources from the Road Runners Club of America. What else you get: motivation, personal improvement, leadership opportunities, social networking, ownership in the local running community, and programs that promote the benefits of running.

Fill in all appropriate spaces.

Name:

Address:

City / State / Zip Code:

Phone:

E-Mail Address:

Username on MRA Message Board:

Occupation:

Date of Birth:

Male Female

Complete the following for family memberships.
Spouse

Date of Birth:
Male Female
Dependent

Date of Birth:
Male Female
Dependent

Date of Birth:
Male Female

Liability 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 the 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 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 Michiana Runners Association, 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.

Support your club! Optional donation in addition to annual dues is tax deductible. Help defray the costs of mailings, insurance, and programs. Donate $50 or more and get a free MRA tech shirt!
$ 25 - Miler $ 50 - 10K $100 - Marathoner $250 - Ultra

Check this box to indicate you have read the application including the waiver and are in agreement.
Yes