Membership
Membership Application


Yearly Registration fees (November 1st to October 31st) are $50.00 per annum payable in advance.  Please fill in the above noted information and send cheque, payable to West Toronto Pacers or cash to:
West Toronto Pacers

32 Jackson Avenue

Toronto, ON M8X 2J4



All members please read and confirm.

In consideration of the acceptance by West Toronto Pacer of the membership fees paid by me, I, on behalf of myself, my heirs, executors, administrators, successors and assigns, hereby release, waive and forever discharge West Toronto Pacers, its officers, directors or agents, sponsors, the Ontario Track and Field Association,the Kingsway Boxing Club of and from all claims, demands, dangers, costs, expenses, actions, and causes of action, whether in law or in equity, in respect of death, injury, loss or damage to my person or property, howsoever caused, arising as a result of my membership in West Toronto Pacers or participation in Club events, whether as a spectator, participant, competitor or otherwise, and notwithstanding that same may have been contributed to or caused by the negligence of any of those mentioned above.

I further undertake to hold harmless and agree to indemnify any or all of those listed above from and against all liability incurred by any or all of them arising as a result of, or in any way connected with my participation in West Toronto Pacers.

I agree to respect the privacy of West Toronto Pacers members and comply with all rules set out by West Toronto Pacers concerning the use of any information made available to me.

I warrant that I am physically fit and able to participate in Club activities.

Please indicate I Agree in the adjacent text box that
I acknowledge and have read, understood and agreed to the Release, Waiver, Indemnity
*
First and Last Name: *
Address:
City:
Postal Code:
Primary Phone: *
E Mail Address: *
Confirm E Mail Address: *
Emergency Contact Name:
Emergency Contact #:
We would like to get to know you! Please tell us about your goals, objectives and what you hope to gain by joining WTP?:
Please indicate how you heard about our club:
Running Experience:
Multi Sport Experience:


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