New Mexico Racewalkers, INC.

Membership Application

Fees are $15.00 for members and/or families. Membership is for the calendar year; however, those joining after October 1st are considered members for that year & all the next. Please mail your check for $15 to New Mexico Racewalkers, Inc., P.O. Box 90111, Albuquerque, NM 87199. The New Mexico Racewalkers is a non-profit organization.

Name: ___________________________________

Age:__________________________________

Mailing Address:_____________________________

Email Address*:_________________________________

Phone:________________

Date:___________________

Name of other Racewalker Members in your family:_____________________________

DISCLAIMER:I assume all risks associated with racewalking or fitness walking and with participating in any way or volunteering to work in NMRW club races and activities. I waive and release the New Mexico Racewalkers, their sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in NMRW club activities.

Signature:_________________

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