TCRC 2008 Membership Form
(Expires 12/31/08)
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___ Club Member ($15) |
___ U-23 Race Team Member (no fee) |
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___ Race Team Club Member ($25) |
___ Junior Member (no fee) |
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___ Contract Race Team Member ($25) |
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Not sure which Membership? Check out the Reimbursement Policy at http://www.tcrc1.homestead.com/member.html to see which membership suits you best. Under 23 (22 and under) and Junior (18 and under) are defined by your racing age.
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Name: ___________________________ |
Home Telephone: ___________________ |
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Address: _________________________ |
Work Telephone: ___________________ |
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City: ____________________________ |
Cell Telephone: ____________________ |
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State: ______________ Zip: _________ |
E-mail: ___________________________ |
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Membership Renewal: ______________ |
Birth date: ________________________ |
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USCF License # (if applicable): _________ |
Category: ________________ |
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Racing Age (age as of 12/31/2008): _____ |
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If seeking reimbursement for entry fees or the clothing kit, I agree to abide by the terms and guidelines in the TCRC Reimbursement Policy. (Please notice the TCRC jersey, volunteer work, and other requirements and limitations for reimbursement.)
Signature of Member: ___________________________________ Date: _____________
RELEASE
In consideration of my
membership, I agree not to hold the Tri-Cities Road Club, its officers or
any of its members liable for any injury or damage which may result from
participation in any event sponsored by the Tri-Cities Road Club.
I understand that as a bicyclist using public highways I will be
subject to, and agree to abide by, the same traffic laws as governs other
vehicles. I understand that the Tri-Cities Road Club
does not accept responsibility for the safety of ride participants, that
bicycling can be dangerous, and that all participants in
Signature of Member: ___________________________________ Date: _____________
Legal Guardian of Minor: ________________________________ Date: _____________
A completed Membership Form and a check to TCRC should be mailed to