Compete with the Finest . . .

Join the

Cape Cod Athletic Club

Johnny (Marathon) Kelley, Honorary Chairman of Board of Directors, In Perpetuity

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 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 and 5 mile race

___ The Hyannis Half Marathon and 5 mile race

___ The John Gray Half Marathon and 5 mile race

___ Other Road Races   ___ Cape Cod Triathlon Team

___ Grand Prix Races   ___ Track Meets     ___ Providing Coaching Advice

___ Fun Runs           ___ Group Long Runs ___ Gathering Race Results

___ Newsletter Staff   ___ CCAC Banquet    ___ Other (please specify) ____

                                           _______________________________      



Name: ____________________________________________________________

Address: _________________________________________________________

City: _________________ State: _______________ Zip: ______________

Age: _____ Birthdate: ________ Sex: ______ 

Home Telephone: _____________ E-mail Address: _____________ 



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 are for one year from time of acceptance of application.



Make check payable to: CCAC 

Mail to:          CCAC

                  P.O. Box 1992

                  Hyannis, MA 02601

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This form was printed from the Cape Cod Athletic Club web site.