Professional Documents
Culture Documents
Mountaineer Striders
Running and Walking Club
Membership Application
Single $14.00_______ Family $20.00_______ Full time students & Seniors 65 & over $8.00_______
TELL US ABOUT YOU! Miles per week you run?_____ Walk?_______ Years you've been running?_____
Walking?____ Your training pace?_____ How can the running/walking club help you? ________________
DATE__________________________________
NAME_______________________________________________SEX_____BIRTHDATE_________
ADDRESS______________________________________CITY_____________________________
OCCUPATION______________________________WHERE_______________________________
E-MAIL ADDRESS_______________________________________________________
Signature___________________________________________Date__________________
Signature___________________________________________Date__________________
Signature___________________________________________Date__________________
Signature___________________________________________Date__________________
Parent's signature for members under 18 years_____________Date___________________
Information: 304-848-3080 or 304-623-3303 (Ask for Application Form ) Your call will be returned.
Mail to Mountaineer Striders, 321 W. Main Street, Room 221, Clarksburg, WV 26301