Membership Registration Choose type*New membershipRenewal of membershipType of membership*IndividualHouseholdHousehold membership is defined as two people residing at the same address.Today's Date Date Format: MM slash DD slash YYYY Membership Fee Price: $0.00 Memberships run from October 1, 2019 - September 30, 2020 and are 50% prorated if you join after April 1st. Total $0.00 Member 1Name* First Last NameEmail* Phone*GenderMaleFemaleNonbinaryFor statistical purposes only.BirthdateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthday (MM/DD) may be listed in the membership directory. Year (YY) is for statistical purposes and will not be published. Address* Street Address City State / Province / Region ZIP / Postal Code Interests Walker 5k / 10k 1/2 Marathon Marathon Triathlon Trail Runs Communication Preferences Receive event updates by text message Do not include a listing in the membership directory Do not email newsletter or weekly updates Do not send mail to my street address Member 2Name* First Last NameEmail* Phone*GenderMaleFemaleNonbinaryFor statistical purposes only.BirthdateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthday (MM/DD) may be listed in the membership directory. Year (YY) is for statistical purposes and will not be published. Interests Walker 5k / 10k 1/2 Marathon Marathon Triathlon Trail Runs Communication Preferences Receive event updates by text message Do not include a listing in the membership directory Do not email newsletter or weekly updates Do not send mail to my street address Liability WaiverI am aware that my participation in the sport of running and walking is potentially hazardous and carries with it the risk of injury. I hereby freely assume all associated risks of participating in activities organized by Front Runners and Walkers San Diego or its members. In consideration of joining Front Runners and Walkers San Diego and participating in the clubs runs and events, I, for myself and anyone entitled to act on my behalf, do hereby waive and release Front Runners and Walkers San Diego from any liabilities of any kind arising from injuries, illness, and damages I may suffer as a result of my participation in club activities even though that liability may arise out of negligence or carelessness on the part of the persons names in this waiver. I am also aware that through participation in events with Front Runners and Walkers San Diego I may be photographed or filmed and that these images or videos may be displayed publicly through social or print media. * I have read and agree to the above waivers and disclaimers. Admin Code PaymentAdditional Donation Front Runners & Walkers San Diego is a nonprofit organization. Total Charge $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.