Join Dick Pond Racing-2021

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2021 Dick Pond Racing Membership Form

Complete and submit the following membership form.
Click to View and Read the Membership Waiver and Release of Liability.
Submit payment of $20 for your Membership.

* Indicates required field

Name *

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Gender *

Male Female

I am a *

New Member Returning Member

Address *

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City

State

Zip Code

Country

Phone Number *

Email *

Birth Date (Please Select)

Month *

Select the month you were born.

Day *

Select the day you were born.

Year *

Select the year you were born.

Parent/Guardian (if under 18) *

First

Last

Parental Consent*
Click Here to view and print Parental Consent for members under 18.

Membership Waiver*
Click Here to view the Waiver and Release of Liability.

Waiver and Release Acknowledgement *

I acknowledge the Waiver and Release of Liability

Dick Pond Location *

Carol Stream Hoffman Estates Lisle Park Ridge St. Charles

Select the nearest Dick Pond Location. This location is where your team singlet will be available for pickup when ready.

Tell us about your training goals for 2021.

Select all that apply *

Marathon Half Marathon 10 Mile 10k 5k Ultra/Trail I have not planned any races

By clicking SUBMIT, you agree to have read, acknowledged, and understand our
Membership Waiver and Release of Liability.

Submit

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Home
About Us
- Our Members
- Sponsors
- FAQ
Run With Us
Membership
What's Happening?
Contact Us
- Team Contacts