Hamilton Road Runners Membership Registration Form

Hamilton Road Runners Membership Registration
Hamilton Road Runners is the perfect club to help you stay motivated, improve your fitness, and enjoy the social side of running.

By signing up, you'll gain access to regular group runs and walks, club events, access to our club rooms and a great community of like-minded people. Simply fill out the form below to become a member and start your journey with us!

We can’t wait to welcome you to the club!
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
A Friend or ColleagueGoogleFacebookOther
Adult $95Couple / Family (2nd person) $76Under 16 FreeFriend of HRR $40 (ONLY FOR PEOPLE OUTSIDE OF THE WAIKATO)
Payment Details
Account for payment by direct credit:

Hamilton Road Runners, 03-1555-0161275-00

For "Particulars - Code - Reference" use "First Name - Surname - HRR Sub"
Emergency Contact
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Terms and Conditions
1. Neither the organisers, the sponsors, nor other parties associated with the club shall have any responsibility for any liability, financial or otherwise, which might arise whether or not by negligence, from any direct or indirect loss, injury or death which might be sustained by me or any other party directly or indirectly associated with me, from my intended or actual participation in club events or its related activities.
2. I authorise my name, voice or picture and any information on this form to be used without payment to me in any broadcast, telecast, promotion, newsletter, advertising, or in any other way relating to this club and club events pursuant to the Privacy Act 1993.
3. I understand and authorise this application for membership to the club to be referred to two committee members for approval.
I have read, understood, and accepted the rules for membership.
Signature
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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Hamilton Road Runners Membership Registration

Payment Details

Emergency Contact

Terms and Conditions