Membership Form

Member Information

First Name * Last Name * Address Address 2 City State Zip Email * Phone *

Emergency Contact

Emergency Contact Name * Emergency Contact Phone * Relationship

Riding Information

Primary Ride Type Select one Road Mountain Bike Gravel Touring Commuting E-bike Other Other Ride Type Riding Level Select one Beginner Intermediate Advanced Preferred Distance Medical Notes

Liability Release

I understand that bicycling involves risk of injury, accident, or death. I voluntarily participate in club rides and activities at my own risk. I agree to ride responsibly, follow traffic laws, wear a helmet, and release the Bend / Redmond Bicycle Club, organizers, ride leaders, volunteers, and associated website operators from liability to the fullest extent allowed by law.

I accept the liability release *

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