Join Us Online Membership Application SFR Members: To renew your membership, please login to the club members’ site. Please DO NOT use this form as this will create duplicate entries in our database. Membership*: Student / Under 25 $15.00/year Individual $20.00/year Household / Couple $35.00/year First Name*: First Name*: Last Name*: Last Name*: Gender*: Female Male Gender*: Female Male Phone1*: selectmobilehomework Phone1*: selectmobilehomework Phone2: selectmobilehomework Phone2 selectmobilehomework Email Addr*: Email Addr*: Birthday: mmJanFebMarAprMayJunJulAugSepOctNovDecdd12345678910111213141516171819202122232425262728293031 Birthday: mmJanFebMarAprMayJunJulAugSepOctNovDecdd12345678910111213141516171819202122232425262728293031 Roster Listing*: Yes No Roster Listing*: Yes No Address*: Address (cont): City*: State*: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code*: I / We heard of Shoreline Frontrunners from: please selecta SFR Memberanother Frontrunnera friend/acquaintancefacebookbrowsing/searching the webLong Beach Pridethe Centerthe Bladethe Lesbian Newsthe Grunion Gazetteanother source WAIVER* I acknowledge that training for and/or racing in a running/walking event, duathlon, triathlon, or other multi-sport can be an extreme test of a person’s physical and mental limits, is potentially hazardous, and carries with it the potential for injury or property loss. I hereby assume the risks of participating in all activities organized by Shoreline Frontrunners of Long Beach or its members. I certify that I am physically fit and have not been advised otherwise by a qualified medical person. I affirm that I have read this document and understand its contents. In consideration for your acceptance of this application to become a member of Shoreline Frontrunners of Long Beach, a) I for myself and for anyone entitled to act on my behalf, waive, release, and discharge Shoreline Frontrunners of Long Beach, its members, sponsors, officers, representatives and coaches, the City of Long Beach and the RRCA from all claims or liabilities of any kind arising out of my participation in or traveling to and from an organized Shoreline Frontrunners of Long Beach activity; b) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived; and c) I indemnify and hold harmless the persons or entitites mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Shoreline Frontrunners of Long Beach activity, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I / We have read and agree with the above terms of membership. Error: some required information is missing. Please see fields highlighted in red above.