2019 Sorella Cycling Membership Application
Dues must be paid at the time this application is submitted. All memberships expire on Dec. 31, 2019. If you join after October 1st, you will be granted membership for the remainder of the current year AND all of the next year.

After filling out this form, you will be directed to to Paypal to pay for the membership. If you prefer to pay by check, please complete this form, submit it, and send your check separately to:

Sorella Cycling, Inc.
2451 Cumberland Pkwy #3510
Atlanta GA 30339

First Name *
Your answer
Last Name *
Your answer
Are you a new member or renewing? *
If renewing, how many years have you been a member of Sorella?
Your answer
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Mailing Address
Street *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Contact Info
Email Address *
Your answer
If you are on Facebook, what e-mail is associated with your account?
Your answer
Mobile Phone *
Your answer
Emergency Contact (Name and Phone Number) *
Your answer
Occupation
Your answer
Years riding
(Identify # Years for Road, Mtb, Cyclocross, Track)
Your answer
Do you have any experience or interest in racing Road, MTB, Cyclocross or Track?
If Yes, explain briefly
Your answer
What types of clinics would you be most interested in attending?
Your answer
In order to maintain the energy that will sustain Sorella Cycling, we would like to secure a participation commitment from each member for the year. Please select at least one area in which you would be willing to volunteer your time during the coming year. *
Required
How did you find out about Sorella?
Your answer
Please agree to waiver below and continue for payment options
Waiver Information
WAIVER MUST BE SIGNED BY EACH MEMBER

I hereby apply for membership to Sorella Cycling. I acknowledge that by signing this document, I am releasing Sorella Cycling, its sponsors, members, directors, officers, attorneys and employees from liability of any kind.
I ACKNOWLEDGE THAT CYCLING IS AN INHERENTLY DANGEROUS SPORT AND INVOLVES RISKS AND DANGERS OF DAMAGE TO PERSONAL PROPERTY AND SERIOUS BODILY INJURY.
Serious bodily injury includes permanent disability, paralysis, and death (“risks”). I understand that these risks and dangers may be caused by my own actions for inactions, the actions or inactions of others participating in any Activity defined below, the condition in which the Activity takes place, or the negligence of the Released Parties named below. I understand that there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation or that of the minor in the Activity.
I understand and agree that I will participate in all club and team activities at my own risk. I further understand and agree that the club is a corporation that provides cycling activities for its members and for the advancement of the sport, which will be a direct benefit to me. Therefore, on behalf of myself, my heirs, successors and assigns, and personal representatives, I HEREBY WAIVE, RELEASE, HOLD HARMLESS, DISCHARGE, INDEMNIFY AND PROMISE NOT TO SUE SORELLA CYCLING, INC., its sponsors, members, directors, officers, attorneys and employees (collectively the “Released Parties”) from any and all rights and claims including those arising from the Released Parties’ own negligence, which I have or which I may hereafter accrue from any and all damages sustained by me of any kind directly or indirectly in connection with, or arising out of, my participation in any races, training/club rides or other activities run, sponsored, promoted or encouraged by the club and/or team or travel to or return from such activities (“Activity”). I represent that, based upon a recent physical examination by a licensed medical provider, to the best of my knowledge I have no medical or physical condition that would affect my ability to participate in bicycle racing or any club/team event or that my participation would endanger my health. I acknowledge that I have been advised to read this entire document carefully. I represent that I have read the document carefully, that I agree to abide by the promises I am making in this application and that I am knowingly and voluntarily signing this application. I understand that the club/team is relying upon my promises in this application and would not grant me membership in the club/team without my promises.
I agree to abide by all of Sorella Cycling’s rules, regulations and bylaws.

By clicking the "I accept" option below and paying for your 2018 membership, and submitting this form, you agree to the waiver included in the application as seen above *
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