Mail form and annual dues to:

Desert Cities Track Club
P.O. Box 1215
La Quinta, CA 92247

Phone: 555-555-5555
Fax: 555-555-5555
Email: xyz@microsoft.com

Waiver: In consideration of accepting my membership, I understand, for myself, my heirs, executors and administrators, intending to be bound, hereby waive, release and discharge all those persons connected with the Desert Cities Track Club, including but not limited to, members, officers, & the school district from any and all rights, claims or liabilities for damage or injuries incurred during participation in connection with the running club.