Please fill out the information below to register as a Committed Athletic Family member and join us today.
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Committed Athletic Family is an active club, encouraging regular, healthy cameraderie and athletic activity, primarily via running or walking, to all its members, no matter their age or ability. Committed was created as a social connection for runners who regularly participated in Buffalo-area races. It has expanded to include friends and families, in order to create a vibrant, supportive and positive running community.
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| Member Details (*=required) |
| Name * | Primary name you use when registering for races (You can refine this list later for maiden names, diminutives of your first name, etc.)
First
MI:Last |
| Other first/last names you have used for race registration |
| Alternate First Names | (alternate first names you used to register for races)
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| Alternate Last Names | (alternate last names you used to register for races)
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| For personal contact, password reset, signing onto our website for Committed events(eg: mileage challenge) or running information. |
| E-mail * | |
| Password* |
Password must be 6..32 characters, and include at least one lowercase letter, capital letter, and digit. The password may not contain your name or e-mail address. |
| For calculating age-graded times, and insuring you are older than eighteen for signatures below. |
| Date of Birth* | |
| For delivering shirt/store orders: |
| Address | |
| City | State Zip |
| Club Membership Waiver of Participation |
I agree that I am a member of Committed Athletic Family, and I know that running in and volunteering for organized group runs, social events, and races with this club are potentially hazardous activities, which could cause injury or death. I will not participate in any club organized events, group training runs or social events, unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained. I agree to abide by all rules established by the club, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the club and agree to abide by them. I assume all risks associated with being a member of this club and participating in club activities which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my membership, I, for myself and anyone entitled to act on my behalf, waive and release the Committed Athletic Family, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation with the club, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.
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| Signature* | |
| Date(mm/dd/yyyy)* | |
Parent's Signature
(if under 18 years) | |
| Date(mm/dd/yyyy) | |
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