2019 Dirt Divas Membership Application and Fall Trip Registration
Annual Membership dues are $40.00.  Your Dirt Divas membership includes organized weekly rides, monthly meetings, skills clinics, an opportunity to purchase and attend one of our weekend trips, participation on the race team, email reminders, newsletter, social events, the chance to purchase our cycling jerseys and socks, an invitation to the year end party, and much more!

Dues must be paid at the time this application is submitted.  All memberships expire on December 31 on a yearly basis.  

After filling out this form, you will be directed to PayPal to pay for your Dirt Divas membership where you may also make an optional charitable contribution.  While payment via PayPal is preferred, if you prefer to pay by check, please complete this form, submit the form electronically and mail your check for $40.00 payable to the Dirt Divas to:

Dirt Divas
ATTN:  Membership
P.O. Box 11813
Charlotte, NC 28220-1813

Questions?  Email membership@dirtdivas.net 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address *
Mobile Phone (xxx-xxx-xxxx) *
Emergency Contact First and Last Name *
Emergency Contact Phone Number *
What's the best way to contact you? *
Required
Are you a new or renewing member? *
Date of Birth (MM/DD/YYYY)
Mailing Address Line 1 *
Mailing Address Line 2
City *
State *
ZIP Code *
Employer
Riding level *
How did you hear about the Dirt Divas? *
Required
Who referred you?
(First and Last Name)
Do you already know a Dirt Diva?
Clear selection
If you answered yes above, who?
Cycling Interest
Competition/racing
Cyclocross
Gravel
Mountain Biking
Recreation
Road Cycling
Track Cycling
Cycling Interest
What type of clinics would you be interested in attending?
Other interests/hobbies
Anything you want to tell us about yourself?
Dirt Divas pride themselves on active involvement by all members.  Please let us know of at least one area where you would consider volunteering your time during the coming year. *
Required
2019 Dirt Divas Fall Trip Registration
Now is the time (if you haven't already!) to plan for the Annual Dirt Diva Fall Trip (Pisgah & DuPont), September 27-29, 2019.

For the 2019 Fall Trip, we will be riding trails in Pisgah National Forest on Saturday and DuPont State Forest on Sunday.  DuPont is located South of Asheville and about halfway between Brevard and Flat Rock, NC near the SC border.  The 10,400 acre State Forest offers mountain bikers nearly 100 miles of varied trails.  Mountain biker ride opportunities ranging from easy forest roads to exciting single track.  Check out the trails on their website:  Dupont State Forest

LODGING

We will be staying at Bradley Creek Falls Lodge, a private waterfall estate centrally located in the heart of beautiful Transylvania County, NC.  They offer rooms with kitchenettes, a space for group meals, and parking.  As with previous years, some bed-sharing may be expected.  Preferences are first-come first-served, limited spaces available (26 spots total). Check out their website and Facebook page for pictures and preview the accommodations and grounds.  Bradley Creek Web Site:

https://www.facebook.com/Bradley-Creek-Falls-Lodge-and-Event-Center-111432002255491/ 

ITINERARY

Friday, September 27 - Optional dinner at Cedar Mountain Cafe @ 7:30pm!  The wonderful restaurant has hosted us in the past and has an excellent selection of delicious foods and beverages.  As Friday is an optional day, you will be responsible for your dinner expense.

Saturday, September 28 - We will depart Bradley Creek and meet at the trailhead in the morning and split into riding groups. Each group will have a ride leader.  
•We will have lunch ready when you are done with the ride!

•Dinner will be catered at Bradley Creek.

Sunday, September 29 - We will pack up everything in the morning and check out of Bradley Creek.  We’ll travel to the trailhead parking lot and split into riding groups.

•We provide another picnic lunch before departing for home.

Included in your cost:  Comfortable lodging, 5 meals (2 breakfasts, 2 lunches, 1 dinner), two days of guided rides, and lots of fun.  

-Full Trip Cost (includes 5 meals, 2 nights lodging, guided trail rides, skills clinic and yoga)  $215
-Day Trip - Saturday and/or Sunday (guided ride and trailside lunch)  $35
-A la carte meals for day trip participants:  Saturday Breakfast $10, Saturday Dinner $10, Sunday Breakfast $10
   
There are only a couple of rules:
1. Women only
2. Members only ($40 membership fee)

Other considerations:
- The deadline for registration is Friday, September 20th.
- Available Lodging spaces = 28
- Cancellation policy for trip:  Full refund if cancelled before 09/20/19, 50% refund if cancelled between 09/20/19 and 09/25/19, and no refund if cancelled after 09/25/19.

You must be a current Dirt Divas member in good standing to attend the Spring and/or Fall Trips.  If you have not yet paid your 2019 dues please add the membership fee to your PayPal Cart:

After filling out this form, you will be directed to PayPal to pay for the Fall trip.  

Please email events@dirtdivas.net with your questions.

List Any Allergies, Medications or Pertinent Medical Conditions
Tell us anything you want us to know about as we will be playing in the woods (bee stings, insulin, diabetic, etc.)
How do you plan on arriving? *
Drive myself and my bike
Dirt Diva carpool for me and my bike
Carpool with another Dirt Diva
select one
If carpooling with another Diva, who?
Dietary Needs
We will do our best to accommodate your requests!
Gluten Free
Lactose Free
None
Vegan
Vegetarian
Row 1
Would you be willing to assist with the following:
Baking a dessert to share
I can bring a crock pot for oatmeal
Making trail mix
Prepare/bring a breakfast casserole (suggested recipes will be provided)
Check all that apply
Comments/Questions
Please let us know what time you plan on arriving and anything else you want the trip planner to know
Method of Payment *
(let us know how you plan to pay, please note PayPal is our preferred method for ease of processing)
Waiver of Liability
In consideration of my membership into Dirt Divas, and of my own free will, I for myself, my heirs, executors and administrators, forever waive, release and give up any and all claims, demands, liability, damages, costs and expenses of any kind whatsoever (including personal injuries to me or my wrongful death) against the Dirt Divas and its Officers, Directors, employees, representatives, agents and contractors.  I fully realize the dangers of bicycling, which can include, but not be limited to, collision with pedestrians, vehicles, other riders and fixed or moving objects.  Dangers can arise from surface hazards, equipment failure, weather conditions or inadequate safety equipment.  I assume all risks associated with such participation or while driving to or from bicycling events.  I fully understand I am forever giving up, in advance, and right to sue or make any claim against the parties I am releasing if I suffer such injuries and damages, even though I do not know what or how extensive these injuries and damages might be, and am voluntarily assuming the risk of risk injuries and damages.
By clicking the checkbox option below, paying for the Spring/Fall Trip, and submitting this form, you agree to the waiver included in the application as seen above. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dirt Divas Inc.

Does this form look suspicious? Report

Google Forms