Buffalo Front Runners/Front Walkers
Membership Application

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Name: _______________________________________

Address: _____________________________________



Email: _______________________________________

Phone: ____________________ Birthday: ___________________

When did you first join us for a run/walk in the park? ________________

T-shirt Size (circle one): S M L XL XXL XXXL

May we use your image in our publications? Yes / No

What name may we associate with it? Full / First+Initial / Initials Only

Current yearly dues are $10, please feel free to include an additional donation! :)

Make checks payable to "Buffalo Front Runners". Applications/Dues may be brought

to the park any Tuesday evening or Sunday morning.