Summer 2009 Registration Form

Summer 2009 Training Begins:
Saturdays begin June 6th @ 7:30 a.m.


Full Name:
Email:
Address:
Date Of Birth:
City:
State:
Zip:
Cell Phone:
Home Phone:
Emergency
Contact Person:
Emergency
Contact Number:
(other than the phone numbers given above):
     

Registration Options: (please check)



Veteran Members New Members
Saturday Only, Metro - $40.00 Saturday Only - $40.00
 
Punchcards
(Veteran members only)

 		Discounts for seasonal members only:
(Punchcard members do not apply)
(please check which apply to you)
10 Run Punch card - $45.00 $5.00 off if MDRA member

15 Run Punch card - $60.00

20 Run Punch card - $70.00

 $5.00 off if you volunteered at a spring race.
(please make note of which race)
  $5.00 off per referral
(please type in the names of the referrals)  
Total Membership Cost
(please add up and type price in the box)
 

Please submit this form to Coach Kim by pressing the Submit button below. Please make checks payable to Moving Soles and mail them to: Kim Maxwell, 516 2nd St. South, Stillwater, MN 55082.