2024 MTCC of San Antonio Membership Registration Form

Memberships
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Individual MembershipValid for 2024 calendar year
$40.00



Couple MembershipUp to 2 people (within household) Valid for 2024 calendar year
$55.00



Youth/Student MembershipMust be between the age of 12-17 Valid for 2024 calendar year
$25.00



Family MembershipUp to four family members living within the same household Valid for 2024 calendar year
$100.00



Total

$0.00

Major Taylor Cycling Club of San Antonio Membership Registration

Complete the form below to sign up for membership with Major Taylor Cycling Club of San Antonio (MTCCSA).
Primary Member Name*

First NameLast Name
Primary Member E-mail*
Primary Member Phone Number:*

Area CodePhone Number
Primary Member Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Member Birth Date:*

MonthDayYear

Secondary Member Name*

First NameLast NameMinor (Y/N/NA)
Secondary Member Birth Date:*

MonthDayYear
Additional Member Name

First NameLast NameMinor (Y/N/NA)
Additional Member Birth Date:

MonthDayYear
Additional Member Name

First NameLast NameMinor (Y/N/NA)
Additional Member Birth Date:

MonthDayYear

Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number:*

Area CodePhone Number
What is your relationship to contact?

What level rider are you? (See website under My Ride Lvl for description)*

CasualRecreationalAvid
Where did you hear about us?*

A Friend or colleaugeFacebookRenewing MembershipOther Social Media Platform
Why are you interested in joining Major Taylor San Antonio?*
Are you interested in supporting the community and/or volunteering in community events?*
Do you have an understanding of who Major Taylor is?*

MTCCSA CODE OF CONDUCT
CODE OF CONDUCT

By becoming a member, you agree to follow the MTCC SATX Code of Conduct when representing the Major Taylor Cycling Club (i.e., when you are wearing the kit or at a club function). You are expected to represent the spirit of Major Taylor. Members are encouraged to have fun, and avoid behaviors that may embarrass the club or jeopardize the club or its members. These rules apply when you are at a club function or in club gear.

Examples of unacceptable behavior include:

· Poaching sponsored rides (MTCC or any other group);

· Littering;

· Engaging in illegal activities;

· Being discourteous to other cyclists; or,

· Openly disrespecting any club members based on ability, level, experience, race, age, sex, and sexual preference.
Have you read the Code of Conduct agreement?*

I have read, understood, and agree to Major Taylor Cycling Club of San Antonio (MTCCSA's) Code of Conduct.

League of American Bicyclists for Major Taylor Cycling Club of San Antonio
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY, AND PARENTAL CONSENT AGREEMENT ("Agreement") for LEAGUE OF AMERICAN WHEELMAN D/B/A LEAGUE OF AMERICAN BICYCLISTS ("LAB") (this form is to only be used for Individual Adults or for Adults on behalf of Minors) IN CONSIDERATION of being permitted to participate in any way in the Major Taylor Cycling Club of San Antonio (MTCC San Antonio) (MTCCSA), ("Club") sponsored Bicycling Activities ("Activity") I, for myself, my personal representatives, assigns, heirs, and next of kin:

1. 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 participation in the Activity.

2. 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 conditions in which the Activity takes place, or 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 FOR LOSSES, COSTS, AND DAMAGES I may incur as a result of my participation in the Activity.

3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, the LAB, its respective administrators, directors, agents, officers, members, 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 this 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 AM 18 YEARS OF AGE OR OLDER, HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, HAVE SIGNED IT VOLUNTARILY 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. I AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

MINOR RELEASE

(complete for Participants Under the Age of 18)

AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THENEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

If this waiver is delivered by any electronic means whatsoever and said delivery shall be of the same force and effect as the delivery of an original signature.
Member Name (All members must read and agree to waiver)*

First NameLast Name
Have you read the Release of Waiver terms and conditions?*

I acknowledge and accept all the terms outlined in this waiver.
Member Name (All members must read and agree to waiver)

First NameLast NameMinor (Y/N/NA)
Have you read the Release of Waiver terms and conditions?

I acknowledge and accept all the terms outlined in this waiver.
Member Name (All members must read and agree to waiver)

First NameLast NameMinor (Y/N/NA)
Have you read the Release of Waiver terms and conditions?

I/We acknowledge and accept all the terms outlined in this waiver.
Member Name (All members must read and agree to waiver)

First NameLast NameMinor (Y/N/NA)
Have you read the Release of Waiver terms and conditions?

I/We acknowledge and accept all the terms outlined in this waiver.

Membership Terms and Use Policy
Annual membership 1/1-12/31 & begins when application received/approved.

Facebook Presence and Policy:

We have a growing Facebook presence. Weekly Rides are shown under our events, pictures are posted and discussions are frequent. It is your responsibility to join us on Facebook. Please note that all discussions on Facebook are always encouraging and positive. Negativity is strictly prohibited. Any issues regarding the club should be handled in a professional fashion and offline.

Please contact any of the governing members at any time.

Photo Consent to Release:

As a member of MTCC San Antonio, which is associated with the Major Taylor Association, you hereby grant and authorize Major Taylor Cycling Club of San Antonio the right to edit, alter, copy, any and make use of all photos and/or videos taken of you to be used in and/or for promotional material without payment or consideration. This grant of use includes but is not limited to publishing on Internet and e-mails, magazines, pamphlets, advertisement fliers, and whatever other manner the club finds useful or for any other lawful purpose.
Have you read both Terms of Use Policy agreements?*

I have read, understood, and accept the Facebook Presence and Policy and Photo Consent to Release Policy for membership.
Once you submit your application, you will be contacted.

Thank you!
Release and Waiver of Liability, Assumptions of Risk, Indemnity, and Parental Consent Agreement
Email
example@example.com
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Major Taylor Cycling Club of San Antonio Membership Registration

MTCCSA CODE OF CONDUCT

Membership Terms and Use Policy

Release and Waiver of Liability, Assumptions of Risk, Indemnity, and Parental Consent Agreement