Registration - So Cal Pacers

So Cal Pacer Member Registration

New Member Pacer Waiver

Please read the waiver below and type your name and date in lieu of a signature.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Your phone number

Birthday *

Please read and sign name and date below, agreeing to waiver. PLEASE NOTE, your typed signature will take the place of a signature. *

Signature1 *

Date *

Please read and sign name and date below, agreeing to waiver. PLEASE NOTE, your typed name will take the place of a signature. *

Signature2 *

Date *

T-Shirt Size *

Mens and Women’s

Name of Emergency Contact *

First

Last

Phone Number

How did you hear about us?

Referral name or how you found us

Please fill in if applicable.

Registration Fee *

Total

$0.00