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WESTERN ARKANSAS RUNNERS MEMBERSHIP GENERAL INFORMATION The Western Arkansas Runners club is a nonprofit organization whose primary purpose is to provide support and activities for runners of any age, experience, ability, or speed. The goal of the club is to promote the benefits of running, via the participation in: local and state running events, social activities, and charity events in the community. Membership is compromised of: run/walkers, joggers, road runners, trail runners, tri-athletes, marathoners and ultra-runners. Membership provides the opportunity to meet, associate, and run with others who share a common interest in a fit and healthy lifestyle.

FOR MORE INFORMATION CONTACT: Jeremy Maxwell Kathleen Glidewell Conley Bone Cindy McConnell

maxwellness@cox.net (479)883-6535 kglidewell1@gmail.com cbone@ckb.net cindy.mcconnell@ymail.com

www.westernArkansasRunners.com www.facebook.com — search “Western Arkansas Runners” www.arkrrca.com — Western Arkansas Runners FORUM

BENEFITS OF MEMBERSHIP INCLUDE:  

Roadrunners Club of America membership & insurance Area Running Store Discounts

MAIL APPLICATIONS / DROP OFF Western Arkansas Runners • P.O. Box 12021 • Fort Smith, AR 72917

Student (under 18)

- $10 ________

Individual

- $20 ________

Family

- $35 ________

Name

Age

D.O.B. /

/

Renewal

Date:

Last Name

First Name

Street Address

City

Age

Sex

New

Mail check with the application to: Western Arkansas Runners P.O. Box 12021 Fort Smith, AR 72917

Date of Birth

FAMILY MEMBERSHIP: Please list additional family members

Sex

Middle Initial

State

Phone

Zip Code

Email

WAIVER STATEMENT: I waive any and all claims for myself, my administrators, and my heirs against all officers, sponsors and organizations connect with Western Arkansas Runners and any injury or illness which may directly or indirectly result from any activity associated with this organization. I attest that I have full knowledge of the risks in run racing, training, or recreational running. Signed _____________________________________________________________________ Date _______________________________ Welcome to Western Arkansas Runners!

Western Arkansas Runners  

W.A.R. Membership Form