Murfreesboro Bicycle Club Application Form

For your convenience please fill out this form, print and mail to:

Make check payable to Murfreesboro Bicycle Club - PO Box 766 Murfreesboro, TN 37133-0766

or register online at

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 Mtn. biking Recreational Campovers

Select one: New Member Renewal Individual $15.00 Family $20.00

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