Membership ApplicationSection 1: Consent This section is for consent only.Adult, Parent or Guardian Must be 18 years of age to complete this application.First Name Last Name Birth Date Address City Province Postal Code Phone/Mobile Email Emergency Contact Emergency Contact Number Consent, Release and Waiver of Liability I have read, understand and agree to this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement.Are any riders under the age of 18? - Select -YesNo I have read, understand and agree to the Parental Consent, Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement.Section 2: Pass and Rider InfoMembership and PassesPass Type Day Pass (Small Wheels) - $10 Day Pass (Big Wheels) - $20 Single Membership - $200 Family Membership - $300What day are you planning to ride? How many in your Family? - Select -2345Rider InformationFull Name Birth Date Age Skill Level - Rider 1 -BeginnerIntermediateProBike Make/Model Second RiderFull Name Birth Date Age Skill Level - Rider 2 -BeginnerIntermediateProBike Make/Model Third RiderFull Name Birth Date Age Skill Level - Rider 3 -BeginnerIntermediateProBike Make/Model Fourth RiderFull Name Birth Date Age Skill Level - Rider 4 -BeginnerIntermediateProBike Make/Model Fifth RiderFull Name Birth Date Age Skill Level - Rider 5 -BeginnerIntermediateProBike Make/Model I have read and agree to the Membership Guidlines.Date / Time Submit Application
