NEW in 2008! BCP membership starts immediately
upon payment of dues, and runs for a full year from that point.
This "rolling" membership differs from the previous fixed year of
April through March: memberships of those who join late in the
year, November for example, will no longer expire in a few
months; you get a full year of the newsletter.
To join or renew, please complete this application, make check
payable to "BCP", and mail to BCP, P.O. Box 30235, Phila, PA
19103. Annual dues are $15 if you get the QR newsletter by email
or from the Website, $20 if you get the paper newsletter via US
mail.
There is no charge for additional members in your
household, but all must sign the waiver.
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In signing this release for myself or for the named applicant, if applicant is under the age of 18, I understand that participation in Bicycle Club of Philadelphia (BCP) activities is at my own risk. I acknowledge the risks and dangers inherent with such activities and knowingly and voluntarily assume the risk of injury resulting there from. I understand that supervision, training or oversight may not be provided by BCP with respect to all sponsored events and activities. Participation in BCP activities constitutes my representation that (1) I am in good health, (2) I agree to obey all traffic laws and regulations and practice safety and courtesy in cycling, (3) I agree to wear an approved safety helmet on all BCP sponsored rides, (4) my bicycle is in good and safe mechanical condition, and (5) I acknowledge that BCP and its directors, officers, members, contributors, sponsors, ride leaders and other event coordinators are not insurers of my personal safety or property and do not assume any liability for personal injury or property loss sustained during any BCP sponsored events or activities. By signing below and in consideration for being allowed to participate in any BCP sponsored event or activity, I fully release BCP and its directors, officers, members, contributors, sponsors, ride leaders and other event coordinators from any liability, specifically but not limited to liability for their negligent acts, stemming from or relating to past or future BCP sponsored events or activities.
Signature(s):
__________________________________________________________________
Date ____________
Must be SIGNED by member (by parent or guardian if member is under 18)
New __ Renew __ If this is a renewal, please circle any changed info.
Names of all members: ____________________________________________________________
Address: __________________________________________________________________
City, State, Zip: ______________________________________________________________
Home phone
( ) _______________
Work phone ( ) _______________
E-mail: _____________________________________________________________________
[ ] Check here for PDF file newsletter via [ ] Email or [ ] Website;
$15 dues.
Legible Email address is required.
[ ] Check here for paper newsletter via US mail; $20 dues.
Send form and check to BCP,
P.O. Box 30235, Phila, PA 19103.
BCP will send occasional emails to inform members
of hearings or meetings regarding bike trails or road work in their
township or area.
Please check here [ ] if you do not want to receive
these notices.
Please check any areas in which you might volunteer.
Or write in any you wish.
[ ] Ride Leader
[ ] Scenic Schuylkill Century
[ ] Publicity
[ ] Web site
[ ] Social activities
[ ] Weekend Trips
[ ] Instructional Clinics
[ ] Quick Release Newsletter