For more information:
www.RunBig.org/circuit

  Circuit you areregistering for (check one or both):

COMPETITIVE RACE CIRCUIT________
MULTISPORT RACE CIRCUIT_________ 

Race circuit participation requires current Run Big Chicago membership
RunBig Chicago Multisport Club membership #______
Dues Enclosed for New _____ or Renewing Member_____
($20 annual dues without RunBig team singlet)
($30 annual dues with RunBig team singlet included {size____})

NAME____________________________________________________ ADDRESS_________________________________________________
CITY _____________________________________________________
STATE ____ ZIP _________________
TELEPHONE (H) _____________________ (W)____________________ E-MAIL___________________________________________________
GENDER: M __F___ BIRTH DATE ______________
ESTIMATED WEIGHT AT WEIGH-IN ___________

Age and Weight Divisions:  
MEN – 170-184 lbs., 185-199, 200-224, 225+; open and masters
WOMEN – 135-144 lbs., 145-154, 155-169, 170+; open and masters  

Waiver
I, the undersigned, know that any events I enter carry the risk of personal injury or damage. I am aware that
running, fitness and multisport events require advance training, and I certify that I am physically fit for these events.
I hereby waive and forfeit all rights I may have to file suit or make claims against RunBig Chicago Multisport Club,
any sponsoring organizations, and all persons connected with these events for injuries I may suffer at these events or
any other activities organized or sponsored RunBig Chicago Multisport Club.
Signature ________________________
Date ____________________________

To submit your application, mail this form to:

RunBig Chicago Multisport Club
PO Box 1826
Oak Park, IL  60304-1826
Fax: (312)996-0195

RunBig Chicago home page || RunBig Circuit home page