| You may choose between an Individual Membership or a Household Membership |
| Membership Type |
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| Name |
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| Address |
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| Address2 |
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| City |
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| State |
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| Zip |
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| Phone |
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| Email |
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| Date Of Birth |
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| T-Shirt Size |
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| Occupation |
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| Spouse/Partners name (if any) |
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| Spouse DOB (if any) |
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| Childrens names and ages (if any) |
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| Number of Years Running |
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| Miles Per Week |
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| Average Training Pace |
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| 5K |
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| 5 miles |
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| 10K |
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| Half-marathon |
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| Marathon |
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| Other |
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| Running Goals |
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| Number of Years riding |
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| Miles Per Week |
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| Average Training Pace |
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| Cycling Goals |
|
 |
| Are you interested in biatholons? |
YesNo |
| Have you done biatholons before? |
YesNo |
| Are you interested in triathlons? |
YesNo |
| Have you done triathlons before? |
YesNo |
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| Other Sports |
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| How did you hear about the club? |
|
 |
I know that running is a potentially hazardous activity. I should not run unless I am medically able and properly trained. I assume all risks associated with participating to club-organized communicated events including, but not limited to: falls, contact with movable and unmovable objects or living things, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my application for membership, I, for myself and anyone entitled to act on my behalf, waive and release the Sound Shore Runners and Multi-Sports club, its members and officers, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation to club-organized or communicated activities, even though that liability may arise out of negligence or carelessness on the part of any of the persons named in this waiver.
By checking this box you agree to the above.
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