WCC 2018 Single Ride Membership Application
This form is to be submitted for any participant planning to ride with the club as a Guest. NOTE: LIMITED TO TWO RIDES PER SEASON: To ride a third time with the club within the same calendar year requires a FULL MEMBERSHIP.

NOTE: ACCEPTING THE WAIVER OF LIABILITY MEANS THAT YOU WAIVE THE LEGAL RIGHT TO PURSUE THE CLUB OR ANY MEMBER OF THE CLUB FOR DAMAGES OR LOSSES SUFFERED DURING A CLUB RIDE OR ACTIVITY. WCC membership provides insurance, subject to limits and citizenship considerations, against liability claims by others as well as for sports injuries that you experience during a club activity. Learn more about club insurance at http://whistlercyclingclub.ca/membersinsurance/.

Waiver of Liability *
PLEASE READ CAREFULLY THE WAIVER OF LIABILITY AT http://tinyurl.com/WCCwaiverv1-108Dec2016 THEN PROCEED TO 'Waiver Acceptance'. (note: do not modify the prefilled answer that appears here).
Your answer
Waiver Acceptance *
PARTICIPATION IN CLUB RIDES REQUIRES YOUR ACCEPTANCE OF THE ABOVE WAIVER. For Applicants 18 years of age or younger, acceptance indicates acceptance of the terms of the waiver by both the Applicant and their Guardian. PLEASE CHECK THE BOX IF YOU ACCEPT THE WAIVER.
Required
Helmets Mandatory *
Helmets are mandatory while participating in club rides. Please click to confirm your awareness.
Required
Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Date of Club Ride To Be Participated In *
MM
/
DD
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YYYY
Phone (Cellphone Preferred) *
(NNN) NNN-NNNN
Your answer
Email Address *
Please ensure your email address is correct. It will be added to the WCC email list but you can opt out at any time.
Your answer
Citizenship *
For club rides within Canada, the club's insurance policy provides Sports Injury and Liability coverage for Canadian citizens, but only Liability coverage for non-Canadians.
Age *
If the participant is 18 years of age or younger, fill in the Guardian information next.
Your answer
Guardian Name (for participant 18 or younger)
Your answer
Guardian Cell# (for participant 18 or younger)
Your answer
Guardian Email (for participant 18 or younger)
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Phone *
Preferred: cell phone or other number to most likely reach the emergency contact person.
Your answer
Cycling Skill Level *
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