Birchleggings Club Membership Online Registration

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Registrant #1

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Last Name *

Email Address *

Confirm Email *

Create Password *

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Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender

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Phone *

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Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

One Year Membership

Wednesday January 3, 2024 - Tuesday December 31, 2024

$35.00 + $3.10 SignUp Fee

(Group Pricing)

Five Year Membership

Wednesday January 3, 2024 - Tuesday December 31, 2024

$135.00 + $9.10 SignUp Fee

(Group Pricing)

Lifetime Membership

Wednesday January 3, 2024 - Tuesday December 31, 2024

$500.00 + $26.00 SignUp Fee

(Group Pricing)

Waiver

I understand there are no refunds or transfers for any reason.

I hereby grant the BLC the right and permission to contact me for marketing purposes at my email address and my mailing address.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Birchleggings Club Membership

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