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2007 Team McAllen Cycling Membership/Renewal Form

Basic Information:
*Name (First, MI, Last)
Birth Date
*Address
*City
 *State *Zip
Home phone
Cellular phone
Fax
e-mail
Emergency Contact: (Person we may contact in case of an emergency)
*Name (First, MI, Last)
Relationship
*Address
 Same as Above
City
 State Zip
*Home phone
 Same as Above
Cellular phone
 Same as Above
Interests and Miscellaneous:
Type of rider:
 Level:

Would you like to get involved in Team activities? Yes No thanks!
If yes, please select which activities: (check all that apply)

Safety S.A.G. support Event planning

Are you interested in becoming a Team officer? Yes No thanks!


Comments:

Release and Waiver of Liability,
Assumption of Risk Agreement

In consideration of being permitted to participate in Team McAllen Cycling sponsored bicycling activities, I hereby make known that I will hold blameless in the case of accident, injury, or damage of any kind, the club officers, members, volunteers, sponsors, and the League of American Bicyclists. I recognize that bicycling is potentially dangerous and involves the risks of serious bodily injury including permanent disability, paralysis and death. I represent that I am in good health and proper physical condition to participate in such activities. I understand that all rides are on public roads with motor vehicles or public trails and that I ride at my own risk. I understand that a bicycle is a legal vehicle of the road in the state of Texas, and I will ride in accordance with the Texas Vehicle Code. I further recognize that safety is my personal responsibility, and I agree to participate in keeping all club rides safe. I am aware of the club policy that all riders under the age of 18 must be accompanied by a parent of responsible adult. And even though bicyclists may not be required by Texas law to wear helmets, I understand that wearing an approved helmet will greatly reduce my risk of serious, permanent injury.

*I Agree

* = Required Fields

Note: The application process is not complete until the membership due of $25.00 is received. After submitting this form you will be redirected to our Merchandise section for online payment. Thank You.

Last updated April 21, 2008 | Home | News | Forum | Directory| Multimedia | Merchandise | Contact Us
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