LRRC Membership Application/Renewal

LRRC Membership Dues are $20 per year and run a full 12 months from the day you sign up


Check one:   New_______              Renewal______              Address Change_______   

Runner:_____              Walker:______             Date this form was submitted:

Name:

Address:

City, State, Zip:

Sock Size: (Free pair of LRRC running socks for new members) - S - L - XL (Medium out-of-stock)

Phone:                                                Email:

Age:                          Date of Birth:
Dues include all members of a family who live in the same residence.

Spouse:

Age:                          Date of Birth:

Children: __________________________________________
                 __________________________________________

Name of LRRC Member Sponsor (if applicable):

Send entry form & check to:
Little Rock Roadrunners Club
P. O. Box 250229
Hillcrest Station

Little Rock, AR 72225