Membership Type
*


First Name *   Last Name *
If family membership,  Please list the names


Address

Street *
City* State *  Zip *

Contact
Phone Number *
Email  *

Year of birth (just so we can have some idea of age)
Approx. Training Pace (min/mile)
Race Pace (min/mile) for distance
Can we include you in the membership directory? 
Would you like to be contacted by others about training together? 
Do you wish to be notified by email of local races and group runs?
Are you willing to assist with local races?

Please give us your thoughts and comments:


I realize the Augusta Striders is a volunteer organization.
I am willing to help in the following ways.
(please include any talents and/or special experiences)


Did a current strider encourage you to join?
If so, who

"Upon submission of this application, I agree to assume all risks associated with participation in any activity of the Augusta Striders.  I release all sponsors, officers, employees, and any person assisting on a volunteer basis from any claims of liability resulting from my participation."