WCC 2017 Full Membership Application
Please enter the requested information below then click SUBMIT.
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).
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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
Member's First Name
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Member's Last Name
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Phone (Cellphone Preferred)
(NNN) NNN-NNNN
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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.
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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.
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Guardian Name (if applicant is younger than 19)
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Guardian Cell# (if applicant is younger than 19)
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Guardian Email (if applicant is younger than 19)
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Emergency Contact Person
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Emergency Contact Phone
Preferred: cell phone or other number to most likely reach the emergency contact person.
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Cycling Skill Level
2017 Cycling BC Membership or Racing Licence Number (if applicable)
Riders who have a 2017 membership or racing licence through Cycling BC are eligible for a Riding Membership at a reduced price. Please confirm your 2017 Cycling BC membership and/or racing licence(s) at this link https://ccnbikes.com/#!/memberlookup/cycling-bc-2017 and enter the corresponding number(s) here.
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