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 Membership Fee Price: $0.00 Memberships run from October 1, 2018 - September 30, 2019, and are 50% prorated if you sign up after April 1st. Total $0.00 Member 1Name*Email* Phone*GenderMaleFemaleFor statistical purposes only.BirthdateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthday (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 Year (YY) is for statistical purposes and will not be published.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 Marketing Preferences 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*Email* Phone*GenderMaleFemaleFor statistical purposes only.BirthdateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birthday (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 Year (YY) is for statistical purposes and will not be published.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 Marketing Preferences 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. PaymentAdditional Donation Front Runners & Walkers San Diego is a nonprofit organization. Total Charge $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.