P.O. Box 7334

Asheville, N.C. 28802



City ______________________________________State________Zip__________________________

Telephone (Home)____________________________ (Work) ________________________________

E-mail _____________________________________________________________________________

Circle Appropriate:     Student      Individual     Family

Checks payable to: Asheville Track Club

Dues are: Student $ 5.00, Individual $ 15.00 Individual, $20.00 Family


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 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 weather, including extreme heat and/or humidity, the condition 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 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 Asheville Track Club, 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.

WAIVER MUST BE SIGNED: ___________________________________________________________
                                                SIGNATURE (Parent or Guardian must sign for minor children)

VOLUNTEERS are what makes our Club go. If you or any family members would be available at upcoming Club races and events, check here: ________

If you or any family members have a special skill or interest, let us know: _______________________


Memberships are based on the calendar year

and cover the period of January 1 - December 31.