Please fill out the following form to join the Lace 'em Up Run Club:


Name:
Gender: Male Female
Birthday:
Address:
City:
State:
Zip Code: Phone: Email:

Running goals for 2008: Interests:

Mid-Week Run: Monday Tuesday Wednesday Thursday Target Pace:
Track Workout: Monday Tuesday Wednesday Thursday Target Pace:

Please mail this waiver along with a $20 check to:
Lace 'em Up
678 Wharton Boulevard
Exton, PA 19341