The Kankakee River
Running Club

** MEETINGS ** ** PARTIES ** ** GROUP RUNS ** ** ENJOY CLUB EVENTS ** ** JOIN OUR CLUB **

Membership Application

Today's Date:
First Name:
Last Name:
Address:
City:
State:
Zip:
Telephone:
Email:
Date of Birth:
Age:
Sex:
Plan:	Single ($15/yr)	Family($20/yr)
Status:	New	Renewal

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Signature (parents if under 18) Date

Fill in the information,if you are joining as a family please include family members names and birthdates, print this form out and send it with a check for the correct amount to:

KRRC, 5223 Pinn Oak Turn. Bourbonnais, IL 60914