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Greater Springfield Harriers
 Membership Application

We would love to have you join our club, just fill out the following application.

For security reasons, after submitting information, please mail checks to
The Greater Springfield Harriers
235 Elm Street
West Springfield MA 01089
dues are $15 per year with a special rate of $10 per year for students.
Family dues are $15 per year and $5 per year for each additional family member. Membership runs one year from the receipt of dues.

  1. Name:
    First Name  
    Last Name  
    Date of Birth  Month/Day/Year
     
  2. Contact Information:
    Street  
    Street
    City  
    State  
    Zip Code  
    Home Phone  
    E-mail  If none please enter 'None'
     
  3. Additional Family Member 1:
    First Name
    Last Name
    Date of Birth
  4. Additional Family Member 2:
    First Name
    Last Name
    Date of Birth
  5. Additional Family Member 3:
    First Name
    Last Name
    Date of Birth
  6. Volunteers Needed (Which if any of the following interest you):

    Snowstorm Classics
    Summer Sizzlers
    Fund Raising
    Marketing
    Race Management
    Officiating at events
    Administration
    Organize Men's team
    Organize Women's Team
    Organize Master's team 
    Junior Olympics