Boston Bulldogs Running Club Membership Application Form
A co-ed 501(c)3 non-profit running club established to provide an anonymous and safe community of support for all those adversely affected by addiction - those in recovery, their families and friends, the clinical community and the community at large.

Please pay for your individual ($30.*) or family ($50.*) membership through our online store, and complete the online membership application below. *annual fees valid through 12/31/18

www.bostonbulldogsrunning.com/store/p14/membership

Email address *
Name *
First and last name
Your answer
Address (Street, Town, Zip Code) *
Your answer
Phone Number *
Your answer
Emergency Contact/Phone Number/Relationship *
Your answer
Membership Type (annual fees as of 01/01/17) *
Required
If Household Membership, please list other family members
Your answer
How Did You Hear About the Club? *
Required
Waiver of Participation
I agree that as a member of the Boston Bulldogs Running Club, I know that running in and volunteering for organized group runs, social events, and races with this club are potentially hazardous activities, which could cause injury or death. I will not participate in any Club organized events, group training runs or social events, unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained.  I agree to abide by all rules established by the Club, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the Club agree to abide by them.  I assume all risks associated with being a member of this club and participating in Club activities. Having read this waiver and knowing these facts and in consideration of your accepting my membership, I, for myself and anyone entitled to act on my behalf, waive and release the Boston Bulldogs Running Club, the city of Boston, MA, and the Road Runners Club of America, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation with the Club, 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 all of the foregoing to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the Club.
Waiver of Participation Signature *
Required
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