Welcome to the Department of Recreation!


The Penn Running Club Member Information Form

Name:
	Last			First
Age:		Sex:
Choose One: Undergraduate Graduate Faculty Staff
Email Address:
Campus Address:
City:			State:
Zip:
Emergency Contact (person and phone #):
How many years have you run:
Currently how many days and miles per week do you run:
Are your running interests primarily for: Fitness Competition Recreation and Social
The best days and time of the day for you to train with other club members are:
Your running and/or racing goals (distances, target times, etc.):
Are you willing and able to help lead some of our Club group runs?: Yes No