Please read and understand the provisions below before completing and submitting your application for membership. Thank you!

March 1, 2011 through February 28, 2012 Membership Application
HELMETS ARE REQUIRED FOR ALL RIDES

IN CONSIDERATION of being permitted to participate in any way in the Mid-Michigan Cycling Club (“Club”) sponsored Bicycling Activities (“Activity”), for myself, my personal representatives, assigns, heirs, and next of kin:

1. I ACKNOWLEDGE, agree, and represent that I understand the nature of Bicycling Activities 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 conduced over public roads and facilities open to the public during the Activity and upon which the hazards of traveling are to be expected. I further agree and warrant that if any time I believe conditions to be unsafe; I will immediately discontinue further participation in the Activity.

2. I FULLY UNDERSTAND that: (a) BICYCLING ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“RISKS”); (b) these Risks and dangers may be caused by my
own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place or THE NEGLIGENCE OF THE “RELEASES” 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 LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

3. I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, the Mt. Pleasant Area Chamber of Commerce, Motorless Motion, their respective, directors, agents, officers, members, volunteers, employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, AND DEMANDS, LOSSES, OR DAMAGES for death personal injury or property damage which I may have or which may accrue CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE, WAIVER OF LIABILITY AND ASSUMPTION OF RISK, 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 expense, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.
Become a Member of the
Mid-Michigan Cycling Club
midmicycling.org © Copyright 2010 -- Mid-Michigan Cycling Club -- All Rights Reserved
* Name:
* Address 1:
* Zip Code:
Membership: Responsible for member recruitment,
                     satisfaction, and retention.
Sponsorship: Responsible for Fundraising, Sponsorship,
                     and promotion.
Events: Responsible for Community Outreach, club Clinics,
            Social Events, and Le Tour activities
Contact Information
I am interested in and/or willing to: (Please check all that apply)
Individual: $20
Family or Couple at the same address: $30
Type of Membership
Address 2:
* City:
* State:
* Phone:
* E-mail:
Birthday:
(mm/dd/yyyy)
Family Members:
(If signing up as a family)
Rides: Responsible for ride and ride leader incentives,
           ride leader training, coordination of rides.
I am interested in receiving information regarding:
Level A: 30-50 Miles, 18mph Minimum *
Level C: 20-40 Miles, 14mph Maximum
Level B: 20-35 Miles, 15mph Minimum / 18mph Maximum
Signature (please type name):
Date:
(mm/dd/yyyy)
You will receive payment instructions immediately after clicking Submit
Emergency Contact Information
* Name:
* Phone:
Level D: 10-20 Miles, 13mph Maximum
* Level A rides are “Training Rides” which is defined as a ride where participants will be motivated to push performance to the next level. Riders are expected to be skilled and confident enough to be on their own if they get separated from the group.
Road Rides  (Check all that apply)
Mountain Bike Rides  (Check all that apply)
Level B: Rides that meet at other further-away locations such
              as Ithaca, Midland, or Harrison
Level C: Deerfield Park rides where you meet at Deerfield
Level A: Deerfield Park rides where you ride out to 
              Deerfield Park from town
Riding days/times preferences:  (Please check all that apply)
Early Morning
5a - 6a
Mid-Morning
8a - 10a
Mid-Day
11a - 2p
Early Evening
4:30p - 6p
Evening
6:30p or Later
I would like to be notified of rides via: (Please select only one)
Facebook
Text Message
E-Mail
Phone Call
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 AND 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, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
Click here for a pdf file of the membership application to print off and complete
     The information that is indicated with an * is required information for submitting the on-line application.

     Submitting this information is essential for emergencies and schedule change reasons.
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This website was donated and designed by Mid-Michigan Cycling Club member Scott Gillespie and his business -- Selling U
For more information call Allison Quast at 989.772.2008 or e-mail her at info@midmicycling.org