SHOW_CART >

2023 Club Membership

December 30, 2022 11:30 AM EST
Columbia, MD

2023 membership includes free entry to 10 mile club challenge on 2/26/23 if interested.

email coachlang@hotmail.com

Extended Registration Code

COUPON-APPLIED

INVALID-SECONDARY-COUPON

PLEASE-PROVIDE-VALUE

PARTICIPANT 1

FIRST-NAME

REQUIRED

No emails or URLs allowed

IDENT.NAME_CHARS_LONG

LAST-NAME

REQUIRED

No emails or URLs allowed

IDENT.NAME_CHARS_LONG

BIRTH-DATE

IDENT.RACE_AGE_BETWEEN

REQUIRED

GENDER

REG-OPTION-GENDER-ERROR

PRIMARY-PHONE

PROVIDE-VALUE

EMAIL

EMAIL-CONFIRM

PROVIDE-VALUE

PARTICIPANT-CONDITION

ADDRESS

COUNTRY

PLEASE-PROVIDE-VALUE

STREET

PLEASE-PROVIDE-VALUE

STREET_2

POSTAL-CODE

VALID-ZIP

CITY

PLEASE-PROVIDE-VALUE

STATE/REGION

PLEASE-PROVIDE-VALUE

EMERGENCY-CONTACT

EMERGENCY-CONTACT

REQUIRED

RELATIONSHIP

PHONE

PROVIDE-VALUE

CONTACT-CANNOT-BE-EVENT-P

DATA-PRIVACY

EMAILS-REGARDING-REG-NO-PARAM

2022 Club Membership would like to send you emails with information about other races, updates, events, products and promotions (you can unsubscribe at any time). Would you like to join the mailing list?

WAIVER

I agree that I, ___________________ [NAME OF MEMBER] am a member of Bullseye Running, (hereinafter “the club”), and I know that running in and volunteering for organized group runs, social events, and races associate with the 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 medically able to perform all activities associated with the club and am in good health, and I am properly trained.  I agree to abide by all rules established by the club , including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the club and agree to abide by them.  I assume all risks associated with being a member of the club and participating in all club activities, which may include but no limited to: falls, physical contact with other participants/members, volunteers, race personnel, contract service providers, employees, and spectators including the potential the contraction of a communicable disease resulting from contact with other participants/members, volunteers, race personnel, contract service providers, employees, and spectators. I assume all risks including: the effects of the weather; high heat and/or humidity; freezing cold temperatures; traffic and the conditions of the road including surrounding terrain. I further agree to abide by the Center for Disease Control’s (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases, and I attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html. I assume all such risks being known, appreciated, and accepted by me. 

I understand that bicycles, skateboards, baby joggers/strollers, roller skates or inline skates, animals, and personal music players are not allowed in club organized runs or events, and I will abide by all  rules of the club. 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 the Bullseye Running club and the Road Runners Club of America, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the club activities, even though that liability may arise out of negligence or carelessness on the part of the persons or organizations named in this waiver.  In addition, I acknowledge the contagious nature of COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases by participating in any activities associate with the club. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in any club activities, and personally assume this risk.

I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of the club for any legitimate purposes.  I understand that the club does not provide for refunds in the event of cancellations of services, and by signing this waiver, I consent that I am not entitled to a refund if the any club activities including events are cancelled.

Signature:
Date:

Parent’s Signature if under 18 years:
Date:

MUST-AGREE

Select your singlet size

EVENT-STORE

CHECKOUT-SUMMARY

CORRECT_ERRORS_FOR_ENTRY

COMPLETE_REGISTRATION_FOR_ENTRIES

SUBTOTAL : $0.00
PROCESSING_FEE : $0.00
SALES_FEE : $0.00
TOTAL : $0.00
SUBTOTAL : $0.00
PROCESSING_FEE : $0.00
TOTAL_CHARGE_IF_SELECTED : $0.00
IF_SELECTED_CHECKOUT

PAYMENT-INFORMATION

NO-PAYMENT-REQUIRED
PAYMENT-INFORMATION-MESSAGE

YOU-REGISTERED



Get your friends to join you
Have friends sign up using the link below to receive
Share to Facebook Copy Referral Link

The internet browser you are using to access this registration form is not supported. Please upgrade your browser or register on your mobile device.
Scan this QR Code with your mobile device to load the mobile registration form.
Event registration link
This website uses cookies to improve user experience. By using our website you consent to all cookies in accordance with our Privacy Policy