¨
$ 75 Regular
- Club jersey included.
¨
100 Supporter
- Club jersey included.
¨
40 Student -
Club jersey included. (Photocopy of student ID.)
¨
40 (Or 2 marshal
dates in advance.) Junior - Club jersey included.
¨
35 Regular
- Club jersey not included. (Subteam members only.)
¨
50 Supporter
- Club jersey not included. (Subteam members only.)
ASSOCIATE (Nonracing)
I
have read and signed the Athlete's Release Form on the other side of the
questionnaire.
For Racing members only
¨ I know that I cannot compete in any event without showing a valid- USCF license listing the Century Road Club Association as my affiliated club, and that I must occasionally serve as a safety marshal.
_____________________________________________________________________
Name (print) Signature & date
_____________________________________________________________________
Signature/Parent or Guardian (if under 18)
I have enclosed a check in the amount of.........$___________
(Make out check or money order to CRCA.)