Application for Membership

Print out the form and mail to WT&AC, PO Box 211, Westerly, RI 02891

The Westerly Track & Athletic Club is open to anyone interested in maintaining a lifestyle of physical fitness. The emphasis is on fun and fitness for the entire family at a very low cost. People who enjoy cycling, walking (race walking or recreational), hiking, skiing (downhill or x-country), trail running, biathlons, swimming or road racing are encouraged to join. In the coming year the club hopes to broaden its membership with members coming from different athletic backgrounds. Proceeds contribute to scholarships presented to local Seniors enrolled in a state university or college.

PEOPLE OF ALL ABILITIES ARE ENCOURAGED TO JOIN US FOR:

• Summer Fun Runs and Walks on a weekly basis starting in June - Free.
• Monthly Meetings Group
• Clamdigger 5-Mile Race (April)
• Lil' Rhody Runaround (November)

Memberships run from June 1 to May 31. Membership Fee: ( ) $5.00 Individual ( ) $8.00 Family

Street:_______________________________ City:________________ State: ____ Zip:______

Email Address: ____________________________________________

Home Phone: ____________________________ Work Phone: ________________________

In Case of Emergency Contact: __________________________________ PH: ___________

In consideration of the acceptance of this application for registration, I, intending to be legally bound, hereby for myself, my heirs, executors or administrators, waive and release any and all injuries suffered by me in any athletic event in which I participate.

Signature: __________________________________________ Date: _________________
Parent or Guardian if under 18 Mail application and membership fee to the above address.

For further information, please contact: Steve Schonning, President at 401-348-2000 or email him.