Join

If you would like to be added to the Out and About Long Beach roster, please complete the form below. For partners/household members, please also complete the right column.

Please note that we have instituted a double opt-in system to prevent malicious sign ups. Once you fill out and submit the form, you will receive an email asking you to confirm your intention to join our membership. You must click on the link the email in order for you to be added to our membership.

	Member 1	Member 2
First Name
Last Name
Home Phone
Work Phone
Mobile Phone
Email Address

Address
Address (cont)
City
State/Province
Postal Code
I/We would like to volunteer:	Host or help host a party Activities Committee Fundraising Committee Communications Committee Other/Suggestions