Membership Request Form

Name, Address and Contact Information

Please type your full name.

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As a 501C3 our funders would like to know the composition of the demographics we serve. Please select the options below:

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Indicate the Programs that you are interested in. Please check all that apply.

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By submitting this I release Pottstown Athletic Club and all associates from any and all liabilities, to include responsibilities that may result from arriving, entering, training, testing, departing from PAC training and test facilities. I am aware that training includes possible physical contact and / or injuries, I assume full liability and responsibility. I am financially responsible for my training commitment.