BX Pints Participation Form
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First & Last Name *
Email *
Phone Number *
Instagram Handle
Birthday Month & Day (MM/DD) No Year *
Emergency Contact Name *
Emergency Contact Phone Number *
In addition to Pints & Pavements, which of our programs are you interested in? Please select all that apply. *
必填
Participation Waiver
I agree that I am a participant of BX PINTS & PAVEMENTS, and I know that running in and volunteering for organized group runs, hikes, bikes, social events, races and other events with this club are potentially hazardous activities, which could cause harm. I will participate in any club organized events, group runs or social events, at my own risk. I agree to abide by all rules established by the club, including the right of any official (or team leader) to deny or suspend my participation for any reason. I grant permission for BX PINTS & PAVEMENTS and subgroups to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the club.
Waiver Agreement *
必填
Name & Contact Info of Parent/Guardian if Under 18
WhatsApp Community *
One of our primary ways of sharing information about our events is through WhatsApp. The Pints & Pavements WhatsApp Community provides you the opportunity to engage as much or as little with the crew. You also have the option just to subscribe to announcements only and mute everything else. 
Pints & Perks Program Enrollment *
Membership in Pints & Pavements, Pints & Peaks and Pints & Pedals is free so no need to worry about that. In order to raise funding for the crew and to support local businesses, we have created the Pints & Perks program. More info can be found on our website by visiting pintsandpavements.com/pints--perks.
How did you hear about us?
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