Join Gift Membership

Individual Membership & Renewal Form

* Fields with an asterisk are required.
Member first name *

Member last name *

Member email *

Member phone xxx-xxx-xxxx

Street address *

City *

State *

Zip *

Emergency contact: first name

Emergency contact: last name

Emergency contact phone   xxx-xxx-xxxx

Membership status *
 Never a member
 Former 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 copy

Questions or comments?

Liability Waiver

Do you accept this Liability Waiver? *
 Yes (required for membership)

Human check: Enter the first word of the club name. *

Please verify your email address is correct before submitting.

Except for gift memberships, payment will be made after submitting this form.