Wednesday, February 23, 2011
Sporting Our Spirit Club Membership Application
Promoting the spiritual significance of sport as integral to personal well-being, building community, and communing with God.
Club Membership Application- for all ages and abilities
Print Names: First ______________ Last___________________T-Shirt Size____________
First ______________ Last___________________T-Shirt Size____________
First ______________ Last___________________T-Shirt Size____________
Address:_____________________________________________________________________________
City:_____________________________________State: _________________ Zip:_______________
Home Phone: _________________Cell Phone: _______________________
Date of birth______________ Age now____________ USAT Member #________________
Email: __________________________________________
Emergency Contact: Name:_____________________________Phone #______________________
Club membership dues:_________$35.00 per individual.
Each additional family member, add $15. ________. Annual renewal $25.00________(family or indv.)
Dues include: SOS T-Shirt, email notifications of trainings and races, sponsorship discounts, invitations to SOS socials, and the inspiration to get fit together and to build the mission to help others do the same.
Date _________________________ Signature_____________________________________________________
Parent: Please sign for any family member under the age of 18.______________________________________
Parent Name: Printed_______________________________________
Catch the spirit of sweat!
"God made me for a purpose. But He also made me fast! And when I run I feel His pleasure."
Eric Liddel, 1924 Olympian.
Total number of family members applying ______________. Total amount due:_________________.
Mail CHECK and APPLICATION(S) to:
Coach Susan Kelly
Sporting Our Spirit
2301 LaSalle Ave.
Fort Myers, FL 33907
For further info,
Call Coach Susan: Cell #: 239-822-6507 or Email: Susan@SportingOurSpirit.com
Website: http://sportingourspirit.com/
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