I signed the wavier with option to pay

WAIVER OF LIABILITY

I, the undersigned, agree to indemnify and hold harmless Front Runners Fort Lauderdale from all cost, expense, and liability arising from my participation in its events. I hereby waive all claims for damage or loss to me or my property which may be caused by any act, or failure to act by the club, its officers, or volunteers arising directly or indirectly from my participation in activities; and I hereby assume liability for any loss, damage, or other liability. I understand that private training arranged with other members or officers of the club are not official club activities unless explicitly stated as such and published on the club calendar.

Furthermore, I hereby consent to and authorize the use and reproduction by Front Runners Fort Lauderdale of any and all photographs and/or video that have been taken of me at their events for any purpose, without compensation to me or my assignees. All images and digital files are owned by Front Runners Fort Lauderdale, who reserves the right to use these photographs and/or video.

Signature*

E-mail*

Name*

First NameLast Name

Mobile Phone - I consent to receiving occasional text messages*

I 'd like to...*

RunWalkLearn to run, be paired with a running mentor.

How did you find us?*

My Gender is*

We value diversity. Please assist us by answering these additional

DEMOGRAPIC QUESTIONS:

My Ethnic Background is

My Age Group is

You may "try out" our club for as long as you see fit. No one will pressure you to join. There are however many benefits to membership...

*Spouses who are joining should each complete a form as there is no option to purchase two memberships at a time.

Are you ready to become a paid member today? *Note* Memberships are by calendar year, not on a rolling annual basis.*

YesYes, I'd like a Young Adult (18-30yrs) Membership. 50% Off.*Yes, but I've already paid or been offered a complementary membership.No, I'm trying things out first.

Our Bylaws prohibit, discrimination, harassment of any type and misuse of club property for personal gain.*

I agree to abide by the Club's Bylaws

Our Bylaws may be viewed here.

Who greeted you and gave you this form?*

If unsure choose "Eric."

Take a picture of your drivers license or proof of age.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Publish your photo, phone and email in our secured "members only" directory*

YesNo

Which shirt style do you prefer?*

T-ShirtTank Top

Shirt Size*

Should we wish you a Happy Birthday?

MonthDayYear

Upload a face picture or take one now (choose file or camera)*

Purchase Membership **Memberships are paid by calendar year. Those purchased on/after November 1 include the following year.

Annual Membership$30.00

Young Adult Membership-Annual$15.00

Total $0.00

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