Individual Membership & Renewal Form

* Fields with an asterisk are required.
Member name First * Last *
Member email *
Member phone xxx-xxx-xxxx
Street address *
City * State * Zip *
Emergency contact First Last
Emergency contact phone     xxx-xxx-xxxx
Membership status * Never a member
Former member but not a current member
Current member renewing
Membership dues * I will pay Dues have been paid by gift

Trailmarker newsletter delivery * US Mail hardcopy and electronic PDF
Electronic PDF only, no US Mail hardcopy

Questions or comments?


Do you accept this Liability Waiver? * Yes (required for membership)
Human check: Enter the first word of the club name. *