Flying Rhino Cycling Club Membership Application

(please print this form out)

Name: _______________________________________________________ Age: ________

Address: __________________________________________________________________

City, State, Zip: ____________________________________________________________

Home Phone: (____)_____________________ Work Phone: (____)__________________

New Member q Renewal q First joined in ___________   EMail:________________

USCF License Number: ___________________ USCF Category: ___________________

NORBA License Number: _________________ NORBA Category: _________________

I can help the FRCC Officers in the following areas:

What kind of riding do you like to do? Check all that apply.

YOU MUST READ AND SIGN THE WAIVER ON THE REVERSE SIDE.

APPLICATIONS WITH UNSIGNED WAIVERS ARE NOT VALID.

MINORS MUST OBTAIN SIGNATURES OF PARENT OR LEGAL GUARDIAN;

APPLICATIONS WITHOUT PARENT SIGNATURES ARE ALSO INVALID.

We are pleased to have you as a member of the Flying Rhinos! Annual dues are $30. Benefits include: monthly newsletter, access to expert coaching and use of the Waterford Hills Track for training, 10% discount at Kinetic Systems Bicycles on most items, purchase of official FRCC clothing available at Kinetic Systems Bicycles and access to FRCC hotline (248)-625-7000.

Mail completed applications to FRCC, P.O. Box 815, Clarkston, MI 48347 or drop off at Kinetic Systems, with dues. Make checks payable to Flying Rhino Cycling Club.

AGREEMENT AND RELEASE OF LIABILITY

READ THOROUGHLY BEFORE SIGNING

In being granted membership in the Flying Rhino Cycling Club, I agree to abide by the rules of the Club and of the United States Cycling Federation (USCF), National Off-Road Bicycle Association (NORBA), and USA Cycling. I agree to pay Club dues of $30 per year as of January 1. I understand that as a member of the Club I may represent only the Flying Rhino Cycling Club and its sponsors in open competition, except under special rules of the USCF, NORBA, or USA Cycling or upon a special release by Club officers. I agree to abide by the Club’s Rules of Conduct and represent the Club and its sponsors in a responsible, courteous, and professional manner during competition, training, and in all other capacities. I agree to wear the names of Club sponsors on clothing used in racing.

I acknowledge that bicycling is an inherently dangerous sport in which I am participating at my own risk. I recognize that the Flying Rhino Cycling Club is an organization formed to advance the sport of bicycling, the efforts of which directly benefit me. In consideration of the agreement of the Flying Rhino Cycling Club to grant me membership, on behalf of myself, my heirs, assigns and personal representatives, I release and forever discharge the Flying Rhino Cycling Club, its members, sponsors, officers, promoters, affiliates, and the USCF, NORBA, and USA Cycling from any liability, claim, loss, cost or expense, and waive any such claims against any such person or organization, arising directly or indirectly from or attributable in any legal way to any action or omission of any such person or organization in connection with sponsorship, organization or execution of any bicycle racing or sporting event, including travel to and from such activities of the Flying Rhino Cycling Club, racing events, or sporting events in which I may participate as a rider, team member, or spectator.

To the best of my knowledge I have no physical condition which would interfere with my ability to participate in or attend any such event or would endanger my health thereby.

Signature _____________________________________ Date _____________________

Parent or Guardian of Minor: I, as parent or guardian of the above member, give my permission for my child or ward to become a member of the Flying Rhino Cycling Club, and agree on behalf of my child or ward to the terms of the above agreement.

Signature _____________________________________ Date _____________________