IMMORTAL RIDERS BROTHERHOOD
Membership Interest Application
Section 1- Basic Information
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Media Links
Include any Facebook, Instagram, TikTok, LinkedIn, or other social media profile links -This information will be kept confidential and used only as part of the application review process.
Place of Work / Occupation
Please list your current employer and primary occupation.
City/ Province
*
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Section 2- Riding Information
Do you currently own a motorcycle?
*
Yes
No
How many years have you been riding?
*
Please Select
Less than 1 year
1–3 years
3–5 years
5–10 years
10+ years
Do you have a valid motorcycle license?
*
Yes
No
Do you have valid motorcycle insurance?
*
Yes
No
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SECTION 3 — Background & Intent
Why are you interested in joining Immortal Riders?
*
Are you currently a member of a Motorcycle Club (MC) or Riding Club (RC)?
*
No affiliation
Yes (Explain Below)
Which Club or Group?
Have you ever been asked to leave or been removed from a club or organization?
*
Yes
No
Explanation
Are you willing to participate in club rides and meetings regularly?
*
Yes
No
Are you comfortable following club bylaws and code of ethics?
*
Yes
No
Do you understand this is a brotherhood built on respect, accountability, and commitment and not a casual riding group?
*
Yes
No
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Section 4- Agreement
Please Confirm
*
I confirm that all information provided is truthful and accurate.
I understand that submitting this application does not guarantee membership.
I understand that membership is earned through time, trust, and demonstrated character.
SUBMIT FOR REVIEW
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