Walk Around the World

Registration Form

Please complete this registration form and press the Submit button to create a member account. Fields marked with * are required. The account will be created automatically and you will be given a unique member number. You can use this number immediately to update your miles or kilometers.

All information you submit through this form will be kept private by the Walk Around the World club and will not be given or sold to any other person, club or company. Your name and e-mail address are the only required pieces of information (and only so I can get in touch with you if I need to). All other information is used only to show you how your walking statistics compare with those of other members of your gender, age group and/or location. The Walk Around the World club is a private, non-profit club and has no commercial or other interest in this information.

Note: if the registration form doesn't work for your web browser, please send email with the information below to kpearson@horsetooth.net and I will register you manually.


First Name *
Last Name
Password *
Enter password again *
Do you want to be listed as anonymous in the public listings? Yes No
Email Address *
Do you want to allow people to send you email by clicking on your name on the main page? Yes No
Do you want to receive automatic mailings every month with your statistics? (Currently not implemented) Yes No
Gender Male Female I Don't Want to Specify
Age Group 0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100 101+ I Don't Want to Specify
Miles or Kilometers? Miles Kilometers
Country
If your country is not in the list, please enter it below:
State or Province
(if applicable)
If your state or province is not in the list, please enter it below:
City
Annual distance goal
(optional: how many miles or kilometers do you plan to walk each year?)
Monthly distance goal
(optional: how many miles or kilometers do you plan to walk each month?)
Annual time goal
(optional: how many minutes do you plan to walk each year?)
Monthly distance goal
(optional: how many minutes do you plan to walk each month?)
Annual steps goal
(optional: how many steps do you plan to walk each year?)
Monthly steps goal
(optional: how many steps do you plan to walk each month?)
Annual Calories (kcals) goal
(optional: how many Calories (i.e. Kcals) do you plan to burn each year?)
Monthly Calories (kcals) goal
(optional: how many Calories (i.e. Kcals) do you plan to burn each month?)
Please type the two large words you see to the right into the box below the words. This reCAPTCHA box is a security check to prevent computers from registering fake accounts.


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Last updated 2008.09.29
Copyright © 1998-2008 by Kirk Pearson
kpearson@horsetooth.net