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SouthSide Cycling Club Membership Form
INDIVIDUAL MEMBERSHIPS:
Full memberships are for a full year from date of payment of $30 and requires you to create a member account and signing the waiver at this website.

FAMILY MEMBERSHIPS:
Family memberships requires first a current sponsoring Individual membership paid at $30.

The sponsoring member has the option to add up to three additional family members for $10 each who must be either a spouse or dependent children under the age of 18 who reside in the same household and street address.

Each paid family membership requires creating and making the $10 payment through that unique account including signing the waiver.

Family memberships are also for a full year from date of payment.

If a qualifying Family member is already an individual full member previously paid at $30, they have the option to renew at the lower $10 rate.
First Name *
Last Name *
Email *
Password *
Confirm Password *
Categories *
   Single Rider Membership (1 Year) - $30.00
   Family Membership - $10 Each Additional Member (1 Year) - $10.00
Country *
Address *
City *
State *
Zip Code *
Phone *
Emergency Contact *
Emergency Phone *
I am a ... *
New Member
Returning Member

I am the family member sponsor
Family Membership Sponsors Name (Required) *
Waiver *
Read through the agreement.


I have read and agreed to the TERMS *
Is the participant 18 or older? *
  18 or older       Under 18
Payment Details
Discount or Tracking Code
 
Apply
Do not COPY & PASTE the code, please type it into this field.
Price
$
Handling
$
Total Owed
$


Payment Method
Visa
Mastercard
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