Boulder Cycling Club Membership Application - Step 1

Boulder Cycling Club Membership Agreement
Note: ONLY FIRST TIME GUESTS ARE ALLOWED on BCC rides due to insurance requirements.
You must join the Club to ride with us a second time. Memberships are good for twelve months

Type

     
Family ($50)    
Adult ($25)    

Personal Information

     
First Name    
Last Name    
Address    
City    
State    
Zip    
Email Address    
Phone Number    
Date of Birth    
Emergency Contact Name    
Emergency Contact Phone    
Interests    

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT (“AGREEMENT”)

   

IN CONSIDERATION of being permitted to participate in any way in the Boulder Cycling Club (“Club”) sponsored Activities. I for myself, my personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, AGREE, AND REPRESENT that I understand the nature of bicycling and that I am qualified to participate. I further acknowledge that the Club bicycling activities will be conducted over public roads and facilities open to the public and upon which hazards of traveling are to be expected. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation.


2. FULLY UNDERSTAND that:
(1) BICYCLING ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURIES, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“Risks”);
(2) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the Club, its administrators, directors, officers, agents, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and leasers of premises on which any Club Activity takes place, (each considered one of the “RELEASEES” herein);

(3) 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 in the Activity.

(4) My membership may be revoked at any time for any reason, and, if revoked, the prorated balance of my annual membership fee will be returned within 30 days.


3. HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS.


4. AGREE to abide by all Club ride and safety policies, including, but not limited to:
1) Obey all traffic and cycling laws and ride like a vehicle;
2) Coming to a full stop at all stop signs and red lights;
3) Maintaining a safe following distance at all times depending on the conditions, but never closer than 1 foot behind for every 1 mph over 10 mph (e.g. 5 feet minimum at 15 mph and 10 feet minimum at 20 mph);
4) I will not impede traffic, ride more than two abreast, or pass on the right;
5) I will pull completely off the road and shoulder when stopped;
6) I will stay alert at all times observing motorists and cyclists in all directions;
7) I will warn other riders of road hazards, motorists, and other dangers using accepted verbal warnings and hand signals;
8) I will follow all other rules mentioned in the Clubs’ pre-ride announcements;
9) I will follow the instructions of any appointed Ride Leaders, including leaving a ride if asked to do so for any reason.

5. Warrant that:
1) I have experience road biking in both urban, mountain, and rural areas;
2) I will review the proposed route for each ride I attend to be certain that the type of riding on such route is suitable for me;
3) I will only go on rides for which I possess an appropriate level of cycling skills, safety knowledge, and group riding skills;
4) My bicycle will be in good condition, well maintained, and have properly inflated tires and adjusted brakes prior to all rides I go on;
5) I know how to change a tire and tube and will not rely on the Club for repairs or supplies;
6) I understand that I may be left behind if my bike breaks down;
7) I will bring adequate liquids, food, and money for each ride;
8) I will not ride if I am ill, weakened, or do not have an adequate level of physical conditioning for a proposed ride;
9) I will allot sufficient time to fully complete each the ride I attend;
10) If unforeseen circumstances cause me to leave a ride, I will notify one of the Ride Leaders.

6. WARRANT that I will not rely on any Club Ride Leaders, ride policies, or safety rules for my safety and will be responsible for my own safety at all times.


  I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE.  I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOT WITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

 

By checking this box, you are digitally signing this waiver of rights.