MTCCATX Club Membership Registration Form

Major Taylor Cycling Club of Austin Membership Registration

Complete the form below to sign up for membership to the Major Taylor Cycling Club of Austin (MTCCATX).
Primary Member Name*

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

Area Code Phone Number
Primary Member Address:*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Primary Member Birth Date:*

Month Day Year
Additional Member Name

First Name Last Name
Additional Member E-mail
example@example.com
Additional Member Phone Number:

Area Code Phone Number
Additional Member Birth Date:

Month Day Year
Emergency Contact Name*

First Name Last Name
Emergency Contact Phone Number:*

Area Code Phone Number
Where did you hear about us?

A Friend or colleaugeInternet SearchSocial Media PostNews Article
What level of rider are you?

Novice - new to the sportRecreational - ride 1-2 times per monthAvid - rides 6-7 times per monthWeekend Warrior - never misses a weekend, trains hardRacer - fully committed to beating yesterday's time
MTCCATX Membership Code of Conduct
CODE OF CONDUCT

By becoming a member, you agree to follow the MTCCATX 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
- 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 accepted the Major Taylor Cycling Club of Austin's Code of Conduct.
Release and Waiver of Liability, Assumptions of Risk and Indemnity
League of American Bicyclists for Major Taylor Cycling Club of Austin
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK and INDEMNITY, ("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 Austin (MTCC Austin) (MTCCATX), ("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.

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 the waiver)*

First Name Last Name
Have you read the Release and Waiver of Liability?*

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

First Name Last Name
Have you read the Release and Waiver of Liability?

I acknowledge and accept all the terms outlined in this waiver.
Membership Social Media and Photo Use Policy
Social Media Policy:

We have a growing Social Media presence. Weekly Rides are shown under our events, pictures are posted and discussions are frequent on our social media platforms. Please note that all discussions on the club's social media platforms 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 Austin, which is associated with the Major Taylor Association, you hereby grant and authorize Major Taylor Cycling Club of Austin 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 Social Media and Photo Consent to Release policies ?*

I have read, understood and accepted the Social Media and Photo Consent to Release policies.
Membership Type
prevnext( X )
2023 Individual MembershipMTCCATX Individual Membership for 2023
$35.00

2023 Couple/Family MembershipMTCCATX Couple/Family Membership for 2023
$50.00

Total

$0.00
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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Major Taylor Cycling Club of Austin Membership Registration

MTCCATX Membership Code of Conduct

Release and Waiver of Liability, Assumptions of Risk and Indemnity

Membership Social Media and Photo Use Policy