Join / Rejoin POTOMAC VALLEY TRACK CLUB

Mail this form with a check payable to PVTC
c/o Don Riggs, Membership Secretary
3140-D West Springs Drive
Ellicott City, MD 21043-3261
410-461-6564 -- donriggs@juno.com -- www.pvtc.org
A club for youth, open, master, and senior track & field athletes, distance runners, and race walkers
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First Name      MI  Last Name 
Address         Apt 
City            State  Zip 
Home Phone      Work Phone  Fax  Cell Phone 
Occupation       DOB  (mm/dd/yy) Male Female
E-mail          Add me to PVTC@YAHOOGROUPS.COM
Special skills  Omit my name in publications and results

Signature         Date

ACTIVITIES in which you plan to compete:
Distance running   Teams   Track & field   Race walking  
OtherActivities: 

FAMILY MEMBERS (for more family members include a second copy of this page)
1. First Name: MI LastMale Female
  Relationship: Activity DOB  (mm/dd/yy)
2. First Name: MI LastMale Female
  Relationship: Activity DOB  (mm/dd/yy)
3. First Name: MI LastMale Female
  Relationship: Activity DOB  (mm/dd/yy)
4. First Name: MI LastMale Female
  Relationship: Activity DOB  (mm/dd/yy)

  • Dues are $20 per year.  Renewals are due January 1. 
  • Others at same address: $5 per member 18 or older, or $3 per member under 18.
  • Maximum of $30 per address (only one newsletter per address).
  • TOTAL MEMBERSHIP DUES PAID WITH THIS APPLICATION   $

    WORKER COMMITMENT:  PVTC is a self-supporting club.
    We depend on all members to support our extensive program of events.
     
    *  I can help in the following areas:
    Assistant Official
    Certified Official
    Coaching
    Education
    Food Preparation
    Fall youth track & field     		Course Marshal
    Newsletter
    Race Director
    Registration
    Social Activities
    Summer track & field meets     		Scoring
    Telephoning
    Water Station
    Winter track meets at TJ
    Other Area: 

    *  I commit to working these events:
    Long Distance Running
    By George (Feb)
    Easter Classic (Mar)
    Go Fourth (4th of July)
    Cranberry Crawl (Nov)
    Christmas Caper (Dec)     		Race Walking
    Spring Clinics (Apr-May)
    Postal One-Hour (Sep-Nov)
    Fall Clinics (Sep-Oct)
    Winter Clinics (Jan-Feb)
    Track & Field and Youth Programs
    TJ Indoor Meets (Jan-Feb)
    All-Comers Meets (May-Aug)
    PVA Games (Labor Day Weekend)
    Throws Meets & 5K Run (Sep-Nov)
        (held with Postal One-Hour Racewalk)
    Young Flyers Coaching (Apr-Aug)
    Young Flyers Coaching (Oct-Dec)
    Help Officiate at Youth Meets
    Volunteer     		Consider me for these committees:
    Equipment 
    Long Distance Running
    Membership & Telephoning
    Newsletter 
    Publicity 
    Race Walking 
    Social Activities 
    Track & Field 
    Uniforms
    Youth

    Comments : 

    Thank you for joining or renewing your membership in PVTC and for your support for our programs.