ISLAND ROAD RUNNERS MEMBERSHIP APPLICATION

Name_______________________________

Address______________________________

City, State & Zip_______________________

Telephone: Home: ( ) __________________

Work: ( ) ___________________

e-mail address: _________________________

Birth Date: _____/______/______

Names and birth dates of additional family members joining:

_____________________________________________________

_____________________________________________________

_____________________________________________________

q New Membership

q Renewal

Annual membership fee for individual or family membership is $10. $1.25 of this amount goes to RRCA for your subscription to FootNotes. Make checks payable to Island Road Runners. The waiver must be signed by all family members.

Send this form and fee to:

Island Road Runners

c/o Total Runner

15355 Dix-Toledo Road

Southgate, MI 48195

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 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 Island Road Runners 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. I grant permission to use any photographs for any legitimate purpose.

Signature _________________Date_________ Signature _________________Date_________

Signature _________________Date_________ Signature _________________Date_________

Parent’s Signature if under 18 years of age:

_________________________Date________

Referred by: (optional)

(IRR Member’s Name)

Who we are:

The Island Road Runners was founded in 1981 and in 1995 became a member of the Road Runners Club of America (RRCA). The club provides support and encouragement to its runners and walkers, as well as promoting community fitness and awareness. We encourage runners and walkers of all abilities to join our group. You can find us on the web at:

www.islandroadrunners.com

Meeting Times

We meet every Saturday morning throughout the year at Grosse Ile Middle School at 8:30 am. There are several course options for running and/or walking and their lengths. All abilities are welcomed.

During the summer months, we designate one Saturday per month as “Tailgate Treats”. This includes breakfast following the run/walk at the Middle School parking lot.

On Mondays, April through October, our club also meets to run and walk at 5:30 pm at the Elizabeth Park Pavilion in Trenton. October through March we meet at the same time at the Riverview Public Library.

IRR Memorial Day Race

Each Memorial Day we organize and sponsor a 1-mile fun run/walk and 8k race at Grosse Ile High School. We are proud of this event and have been doing it for over 20 years.

It has consistently been voted a “Top 50 Road Race” by Michigan Runner magazine.

IRR Club Benefits

ÞReceive a club newsletter 5 to 8 times per year.

Þ10% discount at Total Runner on all non-sale items.

ÞReceive FootNotes—a quarterly magazine produced by RRCA and mailed to your home.

ÞBest of all….Lots of fun, motivation, better health and great friendships.