Dashing Whippets Membership Form
In effort to keep an accurate and up-to-date membership list, we would like our members to fill out the following form. This information will help us contact you in the event of an emergency and to properly keep track of our active members. Members who have not filled out this information and are inactive on the Meetup site will be removed.

We will only use this information if we need to contact you in event of an emergency or if a team captain has a reason to get in touch with you. We may share with the organizations that we are a member of (like RRCA, USATF, or NYRR) if requested for compliance reasons, but won't to any third party that will try to sell you stuff!

Thanks for taking the time to fill this out!

- Whippet Captains

Basic Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone # *
Your answer
Your Meetup Profile
In case your name doesn't match up with your Meetup profile (or if you have a really common name on the site), please copy and paste your profile URL. (ie. http://www.dashingwhippets.org/members/3269132/)
Your answer
To pay your dues, go to: http://www.dashingwhippets.org/dues/
Have you paid your dues? *
Mailing Address
Dues paying members receive a free RRCA.org newsletter. Please fill out the following if you'd like to receive a copy. See details: http://www.rrca.org/publications/club-running/
Street Address, Apt/Suite
Your answer
Your answer
Your answer
Zip Code
Your answer
Emergency Contact Information
If not applicable, enter "N/A".
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Waiver of Liability *
I agree that I am a member of the Dashing Whippets Running Team, and I know that running in and volunteering for organized group runs, social events, and races with this club are potentially hazardous activities, which could cause injury or death. I will not participate in any club organized events, group training runs or social events, unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained. I agree to abide by all rules established by the club , including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the club agree to abide by them. I assume all risks associated with being a member of this club and participating in club activities which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed to be used in club organized activities and I agree to abide by this rule. Having read this waiver and knowing these facts and inconsideration of your accepting my membership, I, for myself and anyone entitled to act on my behalf, waive and release the Dashing Whippets Running Team, the City of New York, USA Track and Field, and the Road Runners Club of America, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation with the club, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the club.
How did you find out about us?
If current Whippet, who referred you?
Your answer
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service