GBRC Membership Application
Dues are based on the calendar year January 1st through December 31st.
Make checks payable in US funds to:

GBRC
P.O. Box 683
Bellingham WA 98227


Name(s)   _________________________________________________________

New Member_________________      Renewal___________________________

Address   _________________________________________________________

City/State/Prov. ______________________________  Zip_______________

Phone_______________________ Date(s) of Birth______________________

E-mail_____________________________________________________________

Type of Membership:

[ ] Single  [ ] Couple  [ ]  Family 

Membership Fees: 
Single - $20.00; Couple - $30.00; Family - $40.00; Youth/Senior - $10.00

Youth is under 18; Senior is over 65

Membership Agreement:

I / we  will help with the __________________________________________ (indicate
month) race. 

[ ] Do not publish my address or e-mail

Legal Fine Print:
MEMBERSHIP AGREEMENT: I know that running and volunteering to work in races are 
potentially hazardous activities. I should not enter and run 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 events including, but not limited
to: falls, contact with other participants, the effects of the weather, including
high heat and and/or humidity, traffic and the condition of 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 GBRC, and
all sponsors, their representives and successors from all clains or liabilities of
any kind arising out of my participation in club activities even though that 
liability may arise out of carelessness or negligence on the part of GRBC's members
and volunteers.

(Signature)____________________________________________


(date)____________________________________