Connect with us on:
Home
Meet PR
Meet the Board
Meet the Coaches
Our Sponsors
Photo Gallery
Run
Event Calendar
Weekly Run Schedule
Upcoming Races / Events
Destination Runs
Training Programs
Half Marathon
Marathon
Half / Full Marathon Registration
Membership
Membership Registration
Contact
Membership Registration
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Gender
*
Male
Female
Email
*
Phone
*
Contact Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Emergency Contact Name
*
Emergency Contact Phone
*
Membership Type
*
Individual Membership
Family Membership
How Many Total Family Members (Including Yourself)
- Select -
2
3
4
5
6
Family Member 2 Name
*
First
Last
Family Member 2 Date of Birth
*
MM slash DD slash YYYY
Family Member 3 Name
*
First
Last
Family Member 3 Date of Birth
*
MM slash DD slash YYYY
Family Member 4 Name
*
First
Last
Family Member 4 Date of Birth
*
MM slash DD slash YYYY
Family Member 5 Name
*
First
Last
Family Member 5 Date of Birth
*
MM slash DD slash YYYY
Family Member 6 Name
*
First
Last
Family Member 6 Date of Birth
*
MM slash DD slash YYYY
Total
$0.00
Waiver and Release
I agree that I am a member of PR-Performance Running, and 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 properly trained. I agree to abide by all rules established by the club, including the right of an 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 risk associated with being a member of this club and participating in club activities which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and inconsideration of your accepting my membership, I, for myself and anyone entitled to act on my behalf, waive and release PR-Performance Running, Inc, the city of St. Charles, and the Road Runners 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.
Do you agree to the waiver?
*
Yes
No
Captcha
Email
This field is for validation purposes and should be left unchanged.
Δ
Photo Gallery
Visit our EVENT CALENDAR to join the fun!
Follow Us:
@prrunningclub
Tweets by @prrunningclub
WE PUT THE FUN IN RUN.
Connect with us on: