2009 Membership Application and Online Renewal
This is a two-part process that can be completed entirely online. First, fill in the following form and hit the "Submit" button. A separate application is required for each family member (fill in the form below, hit the "Submit" button, then return to the page and repeat the process for each family member). In all cases, you must agree to the waiver.

The Individual Annual Fee - valid through 12/31/2009 - is $45.00.
The Annual Fee for Additional Family Members - valid through 12/31/2009 - is $15.00.

After filling in and submitting forms for all applicable family members - or just for yourself if this is an Individual membership - click the "Add to Shopping Cart" button on the page that will be displayed to be connected to a secure shopping cart for fee payment. Use only ONE SHOPPING CART per family. If additional family members are applying: 1) hit the "Continue Shopping" button in the shopping cart to and then the "Add to Shopping Cart" button next to family members to add them. If this is a Family membership, be sure to fill-in the names of family members in the space provided in this form.

Please note: Your VISA or MasterCard statement will show a charge from Coat Publications for this item.


First name
Last Name

Address
City
St. aaaaaaaZip

Phone
Occupation
email address

Special cycling interests & notes (i.e., coaching, officiating, etc.)

Emergency contact name
Contact phone number

Alternate contact name
Alternate contact phone number

Please list first/last names of all family members (if applicable) including yourself. Separate names by a comma.
Please note: Separate forms must be submitted for each family member.
Are you an Honorary Member?
See qualifications below. Note: If so, check above and DO NOT PAY ANY ONLINE FEES. Fill in the Qualifying Option and Event/Date at right. Then read the Release and check the Releaes waiver box below. Then hit the "Submit" button below to complete your process. Skip the fee area.


Qualifying Option (see numbered options below)


Event and Date

San Diego Cyclo-Vets Bicycle Club Inc.
Release

THIS RELEASE FORM IS A CONTRACT WITH LEGAL CONSEQUENCES AND APPLIES TO ALL SAN DIEGO CYCLO-VETS BICYCLE CLUB INC., RIDERS. IT IS NOT LIMITED TO RACING AND TRAINING EVENTS. READ IT CAREFULLY BEFORE DIGITALLY SIGNING (via your checked agreement) BELOW.

In the consideration of the acceptance of my application for membership in San Diego Cyclo-Vets Bicycle Club Inc. (herein referred to as Cyclo-Vets ) I hereby freely agree to and make the following contractual representation and agreements.

I fully realize the dangers of participating in this sport of bicycle riding and racing and fully assume the risks associated with such participation including, by way of example, and not limited to the following dangers of collision with pedestrians, vehicles, other riders or racers and fixed or moving objects, dangers arising from surface hazards, equipment failure, inadequate safety equipment and weather conditions and possibility of serious physical and/or mental trauma or injury including death, associated with athletic cycling competition.

I hereby waive, release and discharge for myself, my heirs, executors, administrators, legal representatives, assigned and successors in interest (herein after collectively”successors”) and all rights and claims which I have or which may hereafter accrue to me against Cyclo-Vets , its sponsors, officers, directors and any other activities organized or promoted by Cyclo-Vets ; including travel to or from any such activities. I agree it is my sole responsibility to prepare for participation in races and club activities and to maintain my bicycle and equipment in proper working order. I understand and agree that situations may arise during races, training rides and other Cyclo-Vets events, which may be beyond the control of Cyclo-Vets and Cyclo-Vets members responsible for organizing such events and I must continually ride so as to neither endanger others or myself. I will participate in all the races and training rides wearing a helmet that satisfies the requirements of the USCF racing rules and that can protect against serious head injury and assume all responsibility and liability for myself.

I agree for myself and successors, that the above representation are contractually binding and are not mere recitals, and that should I or my successors assert my claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by the other party or parties in defending, unless the other party or parties are finally adjudged liable on such claim for willful and wanton negligence. This agreement may not be modified orally and waiver of any provision shall not be constructed as a modification of any other provision herein or as consent to any other provision herein or as consent to any subsequent waiver or modification.

By checking, I agree to the terms and conditions in the above Release. Date

Parent/guardian must check Release box waiver if cyclist is under 18. Date

Click to submit form. A separate form MUST be used for each family member. After you click the "Submit" button to the right, you will be given an option to return to this page to submit a form for each additional family member. Repeat this process for ALL family members. When you are finished, click the "Add to Shopping Cart" button next to Individual Annual Fee on the page that displays after the "Submit" button is clicked.

Honorary Membership Qualifications

Membership is free to those who meet any of the following five Options:

Option 1: Past or present gold medalist in the USCF national championships

Option 2: Past or present USCF national records holder.

Option 3: Gold medalist in the USCF state championships.                              

Option 4: Placed 2 – 5 in USCF National Championship for the immediately preceding year.

Option 5: Placed 2 – 3 in USCF State Championships for the immediately preceding year.

Members must be current members and have Cyclo-Vets as their designated club on their USCF license and must wear the current Cyclo-Vets jersey at all racing events in which they participate, unless eligible to wear a current championship jersey. A digitally signed club membership application is required to activate honorary membership, simply check the Honorary Membership box, identify an Option that qualifies you and list the qualifying event and the date of that event.