2014 QRC Membership Application
Quicksilver Running Club of San Jose Membership Application and Waiver of Liability
$25 --- 2014 Individual Membership 18 and Over
$10 --- 2014 Individual Membership under 18 (Parent/Guardian Signature Required)
$40 --- 2014 Family Membership (Fill out and sign one form per family member)
Date of Birth
Email Address of Applicant
If <18 Parent or Guardian contact information is required. Youth Race Team info on website
Waiver of Liability
I understand and agree that I am solely responsible for participating in running and volunteering activities associated with the Quicksilver Running Club of San Jose (QRC). I should not enter or participate in any club activities unless I am medically able. I assume all risks associated with running, walking, and volunteering to work in all races and events including but not limited to falls, contact with other participants, the effect of weather, including heat, humidity, traffic on roads, and condition on trails, all such being known, appreciated and respected by me. In consideration of acceptance to this running club, I, the undersigned intend to be legally bound for myself, my heirs, executors, and assign waive, release and forever discharge any and all rights and claims for damages which I may have against QRC or their respective officers, agents, representatives and sponsors for any and all damages or injuries sustained and suffered by me during any participation associated with QRC. I also grant QRC the right to use my likeness as a photo or digital image to promote the club.
Please digitally sign with date below to state compliance with the above waiver.
Parent or Guardian signature
Please digitally sign with date, and relation to the applicant under 18 years of age to state compliance with the above waiver.
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Terms of Service