2025 MTCCD Membership Registration Form

MAJOR TAYLOR CYCLING CLUB OF DAYTON

Online Membership Application Form
Annual Membership: Adult 18 and over - $25** | Adult Member and Children 17 and under (max 5) - $30**

*Dues paid after September 30th of each year will be applied towards the upcoming year's membership.
Application Type*
Name*

First NameLast Name
E-mail*

Confirmation Email
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Cycling Skill Level*
Number of Children
Child 1

First NameLast Name
Child 1 Age
Child 2

First NameLast Name
Child 2 Age
Child 3

First NameLast Name
Child 3 Age
Child 4

First NameLast Name
Child 4 Age
Child 5

First NameLast Name
Child 5 Age
{BMV Membership}As a member of MTCCD you have the option to join Bike Miami Valley at a reduced price ($10).

"Bike Miami Valley's mission is to advocate, promote, and create opportunities for all forms of cycling in the greater Dayton region. Your annual investment makes you a card-carrying member of Bike Miami Valley – and strengthens our collective voice to work for a more bike-friendly community. Check out our Membership Benefits on our website (bikemiamivalley.org)."
BMV

I would like to join a Bike Miami Valley Chapter
Select one of our local chapters:

DaytonCentervilleKetteringPiquaSpringfieldYellow Springs

Membership Total** Includes credit card processing fee.
Please check the box to proceed. *
*Submission of a membership application and payment DOES NOT CONSTITUTE ACCEPTANCE INTO THE MTCCD. Membership applications are subject to approval by the majority of Executive Board/or the majority of the membership of the MTCCD.
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MAJOR TAYLOR CYCLING CLUB OF DAYTON