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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