Friday May 9, 2008
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Murfreesboro Bicycle Club Application Form
For your convenience please fill out this form, print and mail to:

Make check payable to:
Murfreesboro Bicycle Club -
P.O. Box 766
Murfreesboro, TN 37133-0766

or register online at:

Renew your membership at Active.Com!

Date
Name
Address
City
State
Zip
Phone
DOB
E-mail

How did you find out about the MBC?

Interests: check all that apply:
Racing Touring MTB
Recreational Campovers

Select one:

In consideration of the Murfreesboro Bicycle Club granting me permission to ride in their events, I hereby waive all claims for damage or loss to my person and/or property which may be caused by any act, or failure to act, of the Murfreesboro Bicycle Club, its officers or agents. I assume the risk of dangerous conditions on and about the route to be traveled and waive any and all specific notice of the existence of such conditions. I agree to wear an ANSI or SNELL approved helmet on all club rides.

Member's Signature

Parent's signature if under age 18
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