GREEN MOUNTAIN ATHLETIC ASSOCIATION

MEMBERSHIP APPLICATION

I am a new member ______ 
I am renewing a current membership _____
Last Name ____________________First Name __________________
Address __________________________________________________
City _____________________________State _____Zip ____________
Telephone (______) ____________________  Email ________________
                                                                            (print clearly!)
Sex ____ Birthdate ___/___/___Age _____
If family membership: other runners, genders and birthdays:
___________________________ , ________________________________
Part of the responsibility of club membership is to try to assist at one of the club sponsored races. (i.e. you can join GMAA even if there is no way you can volunteer at a race!) Circle your preferred race(s):
Kaynor's Sap Run (April) Archie Post (September)
Rollin Irish Half Marathon (April) Common to Common 30K (September)
Partner's Race (May) Art Tudhope (October)
Clarence DeMar (July) Green Mountain Marathon (October)
Scholarship Cross Country (August) Turket Trot (November)
Round Church Women's Run (August) Annual Meeting (February)

Please check here if you don't want your address released to other local running related events: ___

Member signature: __________________________  Date: ______
(Runner or Parent's signature if under 18 years old)

Note: By signing the above, I agree to follow all GMAA and RRCA rules, including not using skates, bicycles, skateboards, baby joggers, or radio headsets in club running events and for myself, heirs, executors, and administrators waive and release any rights and claims for damages I may have against the sponsors, directors, staff, GMAA, USATF, and RRCA for any injuries suffered by me in GMAA activities.
Send this form with $10.00 ($15.00 for family at same address) per year payable to GMAA.
To receive your membership card, send a self addressed stamped envelope.

GMAA
P.O. Box 194
Essex Junction, VT 05453

Amount Enclosed: ______ 
 check which years you are paying for: 2008____ 2009____ 2010____

WELCOME OR WELCOME BACK!



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