Join the CVC

NEW! Now you can join online using a major credit card -- click here!

To join the CVC please print out this form, including the release, fill it out and sign the release and return with your check.

Make checks payable to "CVC" and mail to:

A separate signed release must be included for all family members if joining as a family. Legible photo copies are OK.

Name ___________________________________________________________________________

Other names (and ages) for family memberships___________________________________________________________________

Address _____________________________________________________________________________________

City ___________________________________________________ State _______ Zip ____________

Home phone (_____) ____________________ Work phone (_____) ______________________

Email _________________@____________________________________    (  ) Recreational or (  ) Racing rider

Racers only:  USCF Road category _________   USCF License No. ______________ Birth date __________

Annual membership fee (tax deductible: CVC is a 501(c)(3) nonprofit charitable oganization)

Individual  (   ) (new*) $30.00    (   ) (renewal) $20       Family   (   ) (new*)  $ 35.00**      (   ) (renewal) $25.00**

*Each new member is eligible to purchase one (1) CVC jersey for $30 each for 90 days from date of signed and paid membership application. Additional jerseys may be purchased for $60 each.

**Family memberships only apply to those family members who have signed a release, or for whom a parent or guardian has signed a release if a minor)

Please accept this as my application to join or renew my membership in OUT-SPOKIN/CONEJO VELO, INC, dba Conejo Valley Cyclists ("CVC").

I acknowledge that cycling is an inherently dangerous sport in which I participate at my own risk and that the CVC is a non-profit corporation formed to advance the sport of cycling, the efforts of which directly benefit me. In consideration of the agreement of the CVC to accept me as a member, hereby on behalf of myself, my heirs, assigns and personal representatives, I release and forever discharge the CVC, its employees, officers, directors, agents, members, sponsors, promoters and affiliates from any and all liability, claim, loss, cost or expense, and waive and promise not to sue on any such claims against any such person or organization arising directly or indirectly from or attributable in any legal way to any negligence, action or omission to act of any such person or organization in connection with sponsorship, organization or execution of any bicycling ride, event or race, including travel to and from such event, in which I may participate as a rider, team member or spectator.

I understand that, while the CVC requires helmets to be worn on all rides, helmets must be fitted and worn correctly. I understand the wearing of a helmet does not protect me from all injury or death. I assume all responsibility and liability for selecting my (or my child's) helmet.

Names of Applicants (print)________________________________________________________________________

Signatures of Applicants ___________________________________________________________Date___________

FOR MINORS - PARENT OR GUARDIAN MUST COMPLETE THE FOLLOWING:

I, as parent or guardian of the Applicant, represent to the CVC that the facts herein concerning my child or ward are true. I hereby give my permission for my child or ward to participate in any bicycling ride, event or race, sponsored by the CVC during the period of membership applied for, and further, in consideration of the granting of such membership, agree, individually and on behalf of my child or ward, to the terms of the above Acknowledgment of Risk and Release of Liability.

Signature of Parent or Guardian X____________________________________________________Date___________

This form is effective 16 December 2007 and replaces all previous CVC membership forms.

NEW! Now you can join online using a major credit card -- click here!

Last Modified: $Date: 2008/01/22 02:35:46 $