2012 STARVED ROCK CYCLING ASSOCIATION, MEMBERSHIP APPLICATION 2012

Membership in Starved Rock Cycling Association is open to individuals and entities that support the Association's objectives and pay annual dues. Being a club member is a choice, and your enjoyment is based on the philosophy that you get out of it what you put into it. The membership should be filled with fitness, friendship and fun. New members learn the ins and outs of cycling, such as bike selection, simple maintenance, rules of the road, and group riding. Club members often participate in out of town bicycling activities and organized rides.

The objective of SRCA are:
Providing opportunities for expanding knowledge or appreciation of bicycling:
Encouraging recreational riding activities:
Promoting public recognition of the need for safer cycling conditions:
Advocating, developing, and improvement of bicycling facilities such as paths and trails:
Cooperating with public authorities in the observance of all traffic and safety regulations.

As an SRCA member, you are an ambassador for the club and the sport. When wearing club attire and participating in club activities, be aware that you are identifiable to the public as a SRCA member. Obey the Rules of the Road. SHARE THE ROAD.

LEAGUE OF AMERICAN BICYCLISTS Waiver: RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMITY AGREEMENT IN CONSIDERATION of being permitted to participate in any way in STARVED ROCK CYCLING ASSOCIATION sponsored Bicycling Activities I for myself, my personal representatives, assigns, heirs, and next of kin: 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 conducted 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 at any time I believe conditions to be unsafe. I will immediately discontinue further participating in the Activity.
FULLY UNDERSTAND that: (a) BICYCLING ACTIVITES 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, of THE NEGLIGENCE OF THE RELEASEES 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 in the Activity.
HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the Starved Rock Cycling Association, League of American Bicyclists, their respective administrators, directors, agents officers, volunteers, and 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, 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; AND I FURTHER AGREE that if despite the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT 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 expenses, attorney fees; loss, liability, damage, or cost which any may incur as the result of such claim. 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 OF 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, NOT WITHSTANDING, SHALL CONTIUE IN FULL FORCE AND EFFECT.

Members Signature________________________________ Birth Date_____________ (Parents or legal guardian if under 18 years of age)

Print Name ___________________________________________

Address ______________________________ City ___________________ State ____ Zip _________ Home Phone ______________

Home Phone or Cell ____________________ E-Mail Address ______________________________

Emergency Contact__________________________________Phone/Cell ______________________Emergency Numbers will be posted to the roster for members to put in their cell phones.

ANNUAL DUES: Family $30 _____ Individual $20_____ New _____ Renewal ______

SIGN form and return with CHECK to SRCA PO Box 2304, Ottawa, IL 61350

starvedrockcycling@yahoo.com

www.starvedrockcycling.com