Trail Clubs-Midwest/South
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Alabama
- Alabama Trail and Ultra Runners Alliance (Statewide)
- BUTS – Birmingham Ultra Trail Society (Birmingham)
Arkansas
Georgia
Illinois
- CITRA – Central Illinois Trail Running Alliance (Peoria)
- Flatlander Ultrarunners (Chicago)
- Fox River Trail Runners (Geneva)
- MUDD Ultrarunning Dudes and Dudettes (Crystal Lake)
- New Leaf Ultra Runs (Chicago)
- Shady Hollow Trail Runners (Bloomington)
Indiana
Iowa
Kansas
Kentucky
Louisiana
Michigan
- Dickinson County Trail Runners (Iron Mountain-Kingsford)
- Dirty Herd (Grand Rapids)
- Marquette Trail Running (Marquette)
- West Michigan Trail Runners (Grand Rapids)
Minnesota
Missouri
Oklahoma
Ohio
- Crooked River Trail Runners (Cuyahoga Valley)
- Greater Cincinnati Trail Runners (Cincinnati)
- Medina County Road Runners (Medina County)
- Southeastern Ohio Trail Runners (Pomeroy)
- Wild Bills Running Friends (Cuyahoga Valley)
Nebraska
South Dakota
Tennessee
Texas
- HTRex-Houston Trail Runners eXtreme (Houston)
- Houston Area Trail Runners (Houston)
- Tejas Trails (Austin)
- Trailhead Running (Austin)
Wisconsin