OSU Running Club Registration Form
Please answer every question carefully and only submit the form once. If during the process you have any questions and/or updates to your current form, please contact Megan Falknor at falknor.6@osu.edu
First Name
Your answer
Last Name
Your answer
Gender
Birthday
MM
/
DD
/
YYYY
Buckeye ID # (short # on BuckID)
Your answer
OSU Email Address
Your answer
Phone Number
Your answer
Year
Returning Member
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Do you have any medical conditions or major allergies that we should know about? (Examples: diabetic, bee sting allergy, severe asthma, etc.)
If you answered yes to the above question, please explain
Your answer
T-shirt Size (Included with all membership options)
Membership
Jersey ($40)
Payment Options
Please pay dues by January 22nd. If paying by check or cash please bring to practice ASAP.
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