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Make Check payable and mail to: SHTC, P.O. Box 186, Red Bank, NJ 07701 732-614-6028
Annual Membership (1 full Year) Individual $20.00 Youth (17 & under) $10.00 Family $25.00
2 year $35.00 Individual, Family $40.00 3 year $50.00 Individual, Family $60.00
Please Print Below
Name_______________________________________________ Date Of Birth__/__/___ M_____ F_____
Address______________________________________________
City______________________St___Zip_______
Renewal _____ New Member _________ Membership Type Individual_____ Family_____ Youth ____
Phone # (___)__________________ e-mail Address ______________________________________________
Average Training Pace Run_______ Bike________ Swim ____T-Shirt(12.00 each))________ size______
The Sandy Hookers Triathlon Club, their leaders, officers, sponsors and or anyone else connected with the club shall not be liable for any injuries, illness, loss or damage to any person or property as a result in participation with any function connected to SHTC. Each participant assumes the risk. I release any and all liability attributable in any legal way to the SHTC. I Attest to the best of my knowledge that I am physically fit and am able to compete in the sport or sports involved in with the activities in this club.
Please Sign (parent if under 18)____________________________________________________Date_______________
To have shirt mailed to your home add $1.75 with Membership Fees Amount Enclosed______________