2017 CLUB MEMBERSHIP


Contact Info:  Website www.longboatroadrunners.com    

MEMBERSHIP FORM
Registration Instructions
  1. Enter the required information below.
  2. Confirm the information you entered and get total to be charged.
  3. Enter your credit card information.
  4. Transaction is processed and a receipt is emailed to the address you supplied.
  5. If there are any questions about your online registration please contact us at longboatroadrunners@onlineregistrations.ca.

All fees non-refundable and non-transferable.
Required information is marked with a red asterisk (*).

  Fee
Running Membership $50
Full Time Student Membership $25
Senior member $25
   
A $50 coaching fee covers all coaching services for 2016. Informal coaching advice is still available to all members. For more information go to http://longboatroadrunners.com/membership-2/our-coaches or email Coaching Coordinator Lucas Wilson at coach@longboatroadrunners.com
Coaching Services + $50
* An online registrations service fee will be applied.
Enter Your Personal Information
Membership Type Renewal       New Member       None
Category
Coaching services ( + $50 +HST) yes      no
If, yes, to coaching services I am already being coached and am renewing my membership, or I have discussed signing up for coaching services with the coaching coordinator
 
*First Name:
*Last Name:
*Gender: female        male
*Date of birth:
*Email Address: (your receipt will be emailed to this address)
*Phone (+ area code): ( )- (primary contact phone number either home or cell)
Phone (+ area code): ( )- (secondary contact phone number either home or cell)
*Street:
*City:
*Prov./State:
*Postal/Zip Code:
*Shirt Size: S   M   L   XL
I give consent to The Longboat Roadrunners Club for including my e-mail(s) in a Contact List for The Longboat Roadrunners Club Members
1. I confirm that I am aware the 2017 Longboat Toronto Island Run will be held on Sept 10th.
2. I acknowledge that it is a mandatory requirement of all members of Longboat Roadrunners to fill a role on race day, and I will make every effort to be there.
3. I understand that the Longboat Toronto Island Run is put on by Longboat Roadrunners and that the assistance and expertise of all club members is vital to its success.  I will save the date!
Emergency Contact:
*Emergency Contact Name:
*Emergency Contact Phone (+ area code): ( )-
 
 

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