Casper Windy City Striders --- 2010 Membership Application

The purpose of the Casper Windy City Striders (CWCS) is to promote and encourage running related activities for runners of all ages and abilities. Annual dues in the CWCS running club are $25 (individual) and $40 (family). Membership in this organization includes discounted race prices, enrollment in the Road Runners Club of America (including RRCA runner's insurance), a year subscription to The Colorado Runner magazine, a CWCS T-Shirt and the CWCS newsletter.

CWCS is an entirely volunteer organization and your help with any of the club's activities will be appreciated. Please let us know how the Striders can help you meet your running needs.

Club Membership Application Waiver

I know that running and volunteering to work in Casper Windy City Strider (CWCS) races are potentially hazardous activities. I should not enter and run in CWCS 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 my 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 CWCS and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in these CWCS club activities even though that liability may arise out of negligence or carelessness on the part of the person named in this waiver.

Individual - $25 (____) -- OR -- Family - $40 (____)

Signature ______________________________________________ Date _____/_____/_____

Parents signature if under 18 years old ____________________________________________

Name ______________________________________________________________________

Address ____________________________________________________________________

City _____________________________ State _________ Zip ____________

Phone # ___________________________ Birth Date ____/_____/____ Shirt Size________

Email address_______________________________________________________________

If family membership list members below, birth dates, and shirt size:

Name _________________________ DOB _____/_____/_____ Shirt Size ___

Name _________________________ DOB _____/_____/_____ Shirt Size ___

Name _________________________ DOB _____/_____/_____ Shirt Size ___

Name _________________________ DOB _____/_____/_____ Shirt Size ___

Instructions: Make check payable to 'Casper Windy City Striders' and mail application to CWCS, PO Box 52161, Casper, WY 82605 or hand deliver it at the next race.