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23
Jan
Join the club and take your athletics to the next level! You can sign-up on-line or print this page and mail it to the address at the bottom. See you on the roads!
Compete with the Finest . . .
Join the
Cape Cod Athletic Club
Johnny (Marathon) Kelley, Honorary Chairman of Board of Directors
Founded in 1976
USA Track & Field Club Membership No. 007
Member USA Triathlon
MEMBERSHIP APPLICATION
The Cape Cod Athletic Club depends on volunteers to assist at club races, the Grand Prix Series, newsletter publications, local races and other club activities. Please indicate with a check mark at least one area where you would be willing to help out.
I am interested in helping at:
___ The Johnny Kelley Half Marathon races ___ The Hyannis Marathon races ___ Other Road Races
___ Cape Cod Triathlon Team ___ Grand Prix Races
___ Track Meets ___ Coaching ___ Fun Runs
___ Group Runs ___ Gathering Race Results ___ Newsletter Staff ___ CCAC Banquet
___ Other (please specify) ___________________________________
Name: ____________________________________________________________
Address: _________________________________________________________
City: _________________ State: _______________ Zip: ______________
Age: _____ Birthdate: ________ Sex: ______
Home Telephone: _____________ E-mail Address: ____________________
USAT/USATF Membership Number(s): _________________________________
Additional Family Members:
Name Birthdate Sex Name Birthdate Sex
________________ __________ ____ _________________ __________ ____
________________ __________ ____ _________________ __________ ____
________________ __________ ____ _________________ __________ ____
Check one: Check one:
___ Individual ($20.00) ___ Membership Renewal
___ Family ($25.00) ___ New Membership
___ 18 & under ($5.00)
Memberships expire on 1 December. New memberships processed after 1 June
are carried to the following December. Renewals are effective from December
to December.
Make check payable to: CCAC
Mail to: CCAC
P.O. Box 1992
Hyannis, MA 02601
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