Mail form and annual dues to:

Desert Cities Track Club
P.O. Box 1215
La Quinta, CA 92253

Phone: 760-567-5027
Fax: 760-777-9954
Email: fitness123@aol.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.

Signature of parent or guardian if under 18 years of age.

Date

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