Membership Application/Waiver
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Email *
Dues: $28.00/year
Submit payment 1 of 5 ways:

- Credit Card ( Click on the Join/Renew tab, then click on "Buy Membership" button
- CashApp: $VeloCityRidersCC
- Venmo: @VeloCityRidersCC


Cash or Check (made out to Velo City Riders Cycling Club) may be given to a Board member at a club ride or event
Last Name *
First Name *
Mailing Address (Street, City, State, Zip) *
Mobile # (NO DASHES) *
Emergency Contact Person *
Emergency Contact Person Mobile # (NO DASHES) *
In consideration of being permitted to participate in any way in a Bicycle ride or other activity or event sponsored by the Velo City Riders Cycling Club ("Bicycling " or "Activity"), I, for myself, my heirs, personal representatives, successors, and assigns, intending to be legally bound, agree as set forth below.

1. I acknowledge, agree, and represent that I understand the risks involved in participating in Bicycling and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further acknowledge that the Activity will be conducted over public roads and facilities open to the public during the Activity and upon which the hazards of bicycling are expected.

2. I fully understand that: (a) the act of participating in Bicycling or an Activity involves risks and dangers of serious bodily injury,  contracting of viral infections, bacterial infections and other communicable diseases, permanent disability, paralysis, and death ("risks"); (b) these Risks may be caused by my own actions, inactions, or by the actions or inactions of others participating in the Activity, the conditions under which the Activity takes place, or the negligence of the "Releasees" named below; (c) 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 personal injuries, losses, damages, costs and expenses I may suffer or incur as a result of my participation in the Activity. My decision to participate in any club ride/activity will depend upon my overall health, age, and comfort level with the COVID-19 situation. I pledge not to show up for a ride/activity if I know or think I have been exposed to COVID-19, or have traveled to an area of high risk (class 2 or 3) in the last 14 days. I pledge to keep a healthy distance from other riders and to wear a mask/face covering at all rest stops and gathering locations.

3. I hereby release, discharge, and agree not to sue the Velo City Riders Cycling Club ("VCRCC"), the directors and officers of the VCRCC (including, but not limited to any persons involved in organizing and promoting any Activity), VCRCC’s agents, volunteers, club members, other participants, any other sponsors, advertisers, promoters, and, if applicable, owners and lessors of any premises on which the Activity takes place,(each considered one of the "Releasees" herein) from all liability, claims, demands, losses or damages incurred as the result of my participation in the Bicycling Activity (including, but not limited to claims, losses, or damage caused or alleged to be caused, in whole or in part, by the negligence of a Releasee or otherwise); and I further agree that if, despite this Release, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any of the Releasees may incur as the result of such claim.

4. I hereby agree to wear a helmet and to refrain from wearing headphones or earphones when participating in any VCRCC ride.

5. I hereby agree that I am responsible for following all traffic laws.

6. I hereby grant permission to Velo City Riders Cycle Club to use my photo, video, and/or voice on their website, multimedia, social media, or in other official organization printed publications.  I also acknowledge that Velo City Riders Cycling Club may choose not to use my  photo/voice at this time, but may do so at its own discretion at a later date.  

7.  I hereby agree that I will present myself both verbally and with actionable behaviors that do not offend a reasonable person.  Additionally I will ride in a manner that does not present a safety hazard to myself or others.  Failure to act accordingly will be reviewed by the Board of Directors and may result in temporary suspension or permanent expulsion from the Velo City Riders Cycling Club.  Any member who is suspended or permanently expelled from the club as decided by the Board of Directors, forfeits all remaining membership dues and will not receive any refunds.

I have read this Release, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducements or assurance of any nature and intend it to be a complete and unconditional release of all liability relating to Cycling or other Activity to the greatest extent allowed by law, and agree that if any portion of this Release is held to be invalid, the balance of it, notwithstanding, shall continue in full force and effect.

By clicking submit this will serve as your electronic signature/confirmation.

A copy of your responses will be emailed to the address you provided.
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