SALT CITY STRIDERS RUNNING CLUB
JOIN UP
Complete this unofficial form or get an official join up form from,and mail to, our club president, Terry Pollock at 619 East 6th, Hutchinson, Ks, 67501 or call him at 620-662-7885. Only $10.00 for a single membership or $20.00 for a family membership - if applying for a family membership please list all family names below.
Name ________________________________________ __________ __________
Address _______________________________________ __________ __________
Address _______________________________________
City,State,zip __________________________________
Home phone __________________________________
Cell phone ____________________________________
email ________________________________________
I am a ___ beginning runner ........................................... I____ do run in races
___ experienced runner and racer .........................................____do not run in races
___ somewhere in between ............................................. ____think that people that run in races are crazy
___ I would be interested in helping with club projects or races.
Reason for joining the Salt City Striders __________
___________________________________________
Referred by _________________________________
I hereby agree to abide by all the rules and bylaws of the Salt City Striders and to alway behave in a manner that is moral and sportsmanlike when representing the club at races, meetings, and club activities.
signed ___________________________ Date___________