Hale On Wheels Cycling Club Membership Application
Membership is for one year from January 1st to December 31st. Fee for one year is $25.00 for Individual membership or $30.00 for Family membership (Complete a membership application for each family member).

Club Benefits: Gain cycling knowledge, group training rides, riding events, moral support, setting and reaching goals, motivation, being part of a team, making new friends, and most of all…having FUN!!!
Name *
Address *
Email *
Phone number *
In consideration for admission to membership, the undersigned, for myself and my heirs, executors, administrators, and assigns, does hereby release the Club, its officers, sponsors, and members, for any injury or damage that I may sustain arising, directly or indirectly, from, or as a result of, any Club event. I understand that bicycle riding may be hazardous to me or my property. I agree to indemnify and hold harmless the Club and all officers and members thereof from, and against, any claim or cause of action that I or my heirs, executors, administrators, or assigns, may have for any act or omission by anyone, arising directly or indirectly from, or as a result of, any Club event. I agree to ride safely, to obey all laws regarding bicycle riding, and to wear an approved bicycle helmet at all times while riding a bicycle. *
Signature *
Date *
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