Official Old Fart Running Form
please print off this form and mail with your $5.00 check or money order
payable to : Old Farts Running Club, 1446 Bridge St. N.W., Grand Rapids, MI, 49504
NEW____ RENEWAL_____ Old Card #______ if known
Age:_______ Gender:________ Date of Birth:_______________
Once we receive your payment you will be sent an official
Old Fart Running Club membership card...remember being an Old Fart has its priviledges!!!
Your card will save you $5.00 off all Old Fart races!