IRISH MOUNTAIN RUNNING ASSOCIATION

RACE NUMBER

 
 


MEMBERSHIP AGREEMENT AND RECORD

Year 1st January 2007 to 31sth December 2007

 

 

I the undersigned hereby agree to become a full member of the Irish Mountain Running Association (hereinafter known as the Association) and agree to abide by the rules and constitution of the Association. I also agree to take part in the Associationís races entirely at MY OWN RISK. I confirm that no LIABILITY attaches to the LANDOWNERS or SPONSORS or the members of the COMMITTEE of the Association for ANY INJURY that may be sustained by me as a result of my participation in the Associationís races. I have no physical or medical conditionwhich would inhibit me from the sport of mountain running.

PLEASE PRINT

 

 

 

 

 

 

 

 

 

 

 

NAME

 

ADDRESS

 

 

 

 

 

 

EMAIL

 

Mˆ††††† Fˆ

 

ˆˆ-ˆˆ-ˆˆ

 

DATE OF†††††††††††††††††††††††††††††††††††††††††††††††††††††††††† GENDER

BIRTH

 

 

 

 
 


CLUB††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† PHONE

 

 

 

 

 
 


SIGNITURE

 

 

 

 

JUNIOR MEMBER

SIGNATURE OF CONSENT OF PARENT OR GUARDIAN (IF MEMBER IS UNDER 18 YEARS OF AGE)

I agree to my above mentioned child becoming a member of the Association and participating in any and all under-age races organized by the Association under the conditions outlined above.

 

 
 

 

 


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