2017 Team Utopia South Online Application Form

Team Utopia South is a competitive club that is open to all interested individuals. Membership is on an annual basis (January 1st to December 31st). Dues are $60
a year which include coaching, a racing jersey/singlet, a group atmosphere, and a monthly workout schedule. We train together weekly (not a requirement to be a member), represent
Team Utopia South at local and out-of-area team competitions, volunteer at local races throughout the year, and give members an opportunity to socialize
and meet other runners. We encourage every member to join USA Track and Field (www.usatf.com) so they are eligible to join other Team Utopia South
members in USATF team competitions. This form is for the 2017 season.


Your Name:

Street Address:

City, State, & Zip Code (5 Digits):

Phone Number (xxx-xxx-xxxx):

Your Email:

Birthday (mm/dd/yyyy):

USATF Number (Optional):

Running Goals for 2017 (Mandatory):


Gender:

Team Jersey Size: What size are you?

Jersey Style(if available): Click here to see our 2 different styles and what we have in stock.


Club Membership Application Waiver:

I know that running is a potentially hazardous activity.  I assume all risk associated with running and training, including falls, contact with other participants, the effects of weather,
the conditions of the road and traffic, track and trails, all such risks being known and appreciated by me.  In consideration of your acceptance of this application to become a
member of Team Utopia South, a) I, for myself and for anyone entitled to act on my behalf, waive, release, and discharge Team Utopia South, its members, sponsors, officers, representatives
and coaches from all claims or liabilities of any kind arising out of my participation in or traveling to and from any activity organized by Team Utopia South or its members, sponsors,
officers, representatives and coaches; b) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived; and c) I indemnify
and hold harmless the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during any activity organized by Team
Utopia South or its members, sponsors, officers, representatives and coaches even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.


Date: Wednesday, June 28, 2017, 8:38 pm
Your Initials:

This is a Two step process. Be sure to click the PayPal button on the next page to complete your signup.

By clicking the "Submit" button, you agree to the terms above. Or, you can return to: Team Utopia South Main Page