Plano Pacers Membership Application
To become a member of the Plano Pacers Running Club, please complete this form and send a check in the amount for $30 for family or $20 for individual membership.
r Individual $20 r Family $30
r New member r Renewal
City _________________________________ State _______ Zip __________
Home phone _________________________ Work/Cell phone________________________
E-mail address _____________________________________________________________
Waiver of liability:
In consideration of membership
with the Plano Pacers, I, for myself, and my minor children, and anyone
entitled to act on my behalf, forever release and discharge the Plano
Pacers, its officers and members,
I have read the above and agree to it.
Signature ______________________________________Date ______________