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VCB Membership - Adult

VCB Membership Application -  Adult ($10.00)

Application for "under 19 years of age"  here.

Mail-in application with paper copy of VCB Membership Application form.

Note:  Please allow 2-3 weeks for processing"

 

As we know for sure who is under 19 and needs guardian/parent signature with respect to waivers (this bit of data also helps with statistics and may improve VCB chances of success when seeking grants or approvals).
Phone number of Emergency Contact - with area code please.
Electronic Communications may include the weekly VCB eNews, updates, announcements, events or invitations or other information of interest to you as member of Velo Cape Breton.

RELEASE OF LIABILITY AND INDEMNIFICATION AGREEMENT

In my name/the name of my child, I am aware that the participation of me/my child in bicycling activities involves certain danger and risks and I freely and fully assume all such danger and risks and the possibility of personal injury, death, property damage or loss resulting there from. I, for myself/my child, my heirs, next-of-kin, executors, administrators and assigns, hereby release the Velo Cape Breton Society, its officers, directors, members and volunteers from any liability, and waive all claims, causes of actions of any kind whatsoever I may have as a result of me/my child sustaining personal injury, death, property damage or loss while participating in any Velo Cape Breton Society activities or events.

I, for myself/my child, my heirs, next-of-kin, executors, administrators and assigns hereby agree as follows:

1. to waive any and all claims that may result against Velo Cape Breton Society, its directors, officers, volunteers, sponsors and members all of whom are hereinafter referred to as the “releasees”;

2. to release the releasees from any and all liability for any loss, damage, injury or expense that I/my child may suffer or that my next-of-kin may suffer as a result of my/my child’s participation in said events and activities;

3. to harmless and indemnity the releasees from any and all liability for any property damage, personal injury or death to any third party from my/my child’s participation in said events and activities.

(Please print this membership form for your records before proceeding to the payment page.)

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