P RINCE G EORGE'S R UNNING C LUB
MEMBERSHIP

Annual dues for the Prince George's Running Club are $15 for individuals, $20 for families, and $10 for students. Membership privileges include: reduced entry fees to some area races, weekly training runs, social events, training programs, and discounts at running stores.

You can join PGRC online using secure payments from PayPal, or this page can serve as your application form, or you can use the Word version. Mail the completed form and applicable fee to the PGRC Membership Secretary at the address provided below. If you have additional questions, please send us email or call (202) 521-1495.

Primary Member Name: ______________________________________

Date of Birth: ___________ Sex: ________

Family Member Name # 1 (if applicable): ___________________________

Date of Birth: ___________ Sex: ________

Family Member Name # 2 (if applicable): ___________________________

Date of Birth: ___________ Sex: ________

Street Address: _____________________________________________

City: _________________ State: __________ Zip: _____________

Phone: _____________________ (home) ____________________ (work)

Email: ______________________(home) ____________________ (work)