XSNRG Running Club

Membership Application Form

Annual membership dues are $50.00 | Membership year runs from May until the following April.
Membership due can be paid with cash or cheque to our directors (Dan Little or John Petrosoniak) in person. Payment by credit card is also available immediately following this application submission.

First Name:

Last Name:

Address:

City:

Postal Code:

Email:

Home Phone:

Work Phone:

Cell Phone:

Date of Birth:

Gender:

Male Female

Your first year with XSNRG:

If this is your first year, where did you hear about us?

A Little About You:

Casual / Fitness Runner
Races 10K to 1/2 Marathons
Races Marathons/Ultras
Races Triathlons/Duathlons
Trail Running

Comments:

Just For the Record:

I would like to receive the club newsletter, presenting news,
information and activities related to the club

I acknowledge that I have read, understood and agreed to the Release, Waiver and Indemnity (click here to read)

General Enquiries

John Petrosoniak

Socials and Events

Julie Anderson

Technical Enquiries

Ed Wong

Welcome to XSNRG Running Club

Contact Us