Blue Ridge Bicycle Club Membership Application

The Blue Ridge Bicycle Club advocates safe and enjoyable cycling of all types in Western North Carolina. We promote recreational bicycling and work to improve public awareness of cyclists by serving our community with advocacy activities and monthly trail maintenance.
Helmets are required for all participants.
Please complete this form, sign the release, and mail with appropriate payment to:
Blue Ridge Bicycle Club, Inc.
P.O. Box 309
Asheville, NC 28802

Membership Types and Dues
NEW! Memberships are good for one year from the date of application!

Membership Type: (check one)     Individual $25.00 _____      Family $30.00 _____

Primary Adult Member's Information: (print clearly)

Name:      _________________________________________________________________________

Address:  ______________________________ City:  _______________   State: _____  Zip: ________

Email address:  _________________________________   Phone Number: _______________________

Interests: Road Rides  ____   Bike Lane Cleanup ___  Mountain Biking ____   Trail Maintenance ____

               Direct Road Rides  ____  Advocacy ____  Direct MTB Rides ____   Volunteer ____

Occupation: ________________________________________________________

Why are you joining the club? _________________________________________________________

________________________________________________________________________________

Additional Family Member Names: (print clearly)

Name: ________________________________  Name: ________________________________

Name: ________________________________  Name: ________________________________

All members must read and sign the Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, provided with this application. By signing, you confirm that you have read and agree to the terms of the Agreement. Unsigned applications will be rejected and returned to the applicant.

Signature of Primary Adult Member:  ____________________________________  Date: _________

Signatures of ALL Additional Family Members 15 years and older:

Member: ______________________ Date: ______   Member: ______________________ Date: ______

Member: ______________________ Date: ______   Member: ______________________ Date: ______

Minors (under 15) must have a parent or legal guardian with them on all BRBC rides.

Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement
Based on the Liability Statement of the League of American Bicyclists

In consideration of being permitted to participate in any way in Blue Ridge Bicycle 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:
• Bicycling Activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death ("risks");
• these risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the Negligence of the "releasees" Named Below;
• 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 RESPONSIBILITY FOR THE LOSSES, COSTS AND DAMAGES I incur as a result of my participation in the Activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, the League of American Bicyclists, their respective administrators, directors, agents, officers, volunteers and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place (each considered on 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 HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY 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 AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE.