WCC 2017 Single Ride Membership Application
Use this form if you will be riding as a Guest. NOTE: LIMITED TO TWO RIDES PER SEASON: To ride a third or more times with the club please sign up for a FULL MEMBERSHIP.
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 under 19 years of age, 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 That I Will Participate In *
MM
/
DD
/
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. Learn more about club insurance at http://whistlercyclingclub.ca/membersinsurance/.
Age *
If the applicant is under 19 years of age, fill in the Guardian information next.
Your answer
Guardian Name (if applicant is younger than 19)
Your answer
Guardian Cell# (if applicant is younger than 19)
Your answer
Guardian Email (if applicant is younger than 19)
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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