Nassau Police Running Club Membership Form

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Nassau Police Running Club Membership Form

Once you submit the Membership form you will be added to our new Email List for further correspondence

Email *

Club Dues For 2026 $40 - Good for Calendar Year of 2026

Payable to Venmo @NCPDRunClub

Application Status for 2026 *

New

Update Information

Employment Status *

Active

Retired

Member of NCPD? *

Yes

Member Status *

Full: Sworn Nassau County or NC Village Police Officer or NC Sheriff

Associate: Sworn Police Officer Outside Agency

Associate: Nassau County Sworn Peace Officer (Probation/Corrections)

Associate: Civilian Employed by Nassau County or Village

Associate: Nassau County Auxiliary Police Officer

Honorary (Commissioners, Chiefs, Dignitaries, etc.)

Sponsor

Other:

If Selected Sponsor, Provide Sponsor Information (Club Member Name, Phone Number)

Department *

Command (If Applicable) *

First Name *

Last Name *

Full Address (Street, City, State, Zip) *

Cell Phone Number *

Personal Email *

Prior Member of Nassau Police Running Club? *

Yes

Anything you would like to let us know?

Submit

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