Over the Hill Track Club
Ridgecrest, California
MEMBERSHIP APPLICATION
NAME ____________________________________________________
DATE ___________
ADDRESS ___________________________________________
TELEPHONE ____________
CITY __________________________________________
STATE __________ZIP _________
EMAIL ________________________
NEW MEMBERSHIP _____ RENEWAL _____
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Names and
ages
of members
(family membership includes
children through high school)
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Running
info (optional)
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Special
Interests (optional)
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Years
Running
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Miles
per Week
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Running
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Speed
Walking
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Ultra
Running
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Trail
Running
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Orient-
eering
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Triathlon
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Duathlon
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INTERESTED IN _____RACE DIRECTOR
_____RACE VOLUNTEER
_____PUBLICITY
_____NEWSLETTER CONTRIBUTOR
_____OTHER______________________
OTHTC USE:
_____ Renewal fee
_____ Mailing list
_____ RRCA roster |
Send completed form
with check for $15 single membership
or $25 per family to:
OTHTC
c/o Chris Rios
229 N. Chambers
Ridgecrest CA 93555
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