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Name |
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Mr. Mrs. Ms. |
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Addt'l Family Members |
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Address |
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City |
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State |
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Zip Code |
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Phone |
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Fax |
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E-Mail |
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(Please select all that apply) |
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Where do you ride? Road Off Road
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Why do you ride? Social/Recreation Fitness/Training
Racing |
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Address Change |
Cycling Experience? New to Cycling Experienced Hard core |
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Make check payable to Cascades Cycling Club.
Send check and completed form to:
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Cascades Cycling Club
P.O. Box 515
Jackson, MI. 49204
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In signing this form for myself, my family,
or minor children being members of Cascades
Cycling Club I understand and agree to absolve
the Club and all members and officers, individually,
or collectively, of all blame for any injury,
misadventure, harm, loss, or inconvenience
suffered as a result of taking part in any
Club sanctioned or affiliated event or any
of the activities associated with any Club
event.
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Releaser's Signature:
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Date:
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