* - denotes required
Name *:
Email * :
Day Phone :
Evening Phone :
Address :
City :
State :
Zip :
Membership type *
$20 Single membership via Paypal $25 Family membership via Paypal
$20 Single Membership paid
via US Mail
$25 Family Membership paid
via US Mail
Membership Name:
if family, please list all names
Waiver: I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in club activities unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to safely completing the run. I assume all risks associated with running and volunteering to work club races including, but not limited to, falls, contact with other participants, the effect of the weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for membership, I, for myself and anyone entitled to act on my behalf, waive and release RUN WICHITA and all sponsors, their representatives and successors from all claims and liabilities of any kind arising from my participation in these club activities even though that liability may arise out of negligence or carelessness on the part of persons named in this waiver. I grant permission to all the foregoing to use any photographs, motion pictures or any other recording of these events for any legitimate purpose.


Suspenders4Hope 5k Run
October 1, 2022

Cowtown Jailbreak 5K
November 5, 2022

Salina Crossroads Marathon
November 5, 2022