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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 each to create a unique account including signing the waiver.
Family memberships are also for a full year from date of payment.

After payment, the Sponsoring Member will be sent an email with the discount code(s) for each paid family member to join and build their member account.

Questions or need assistance? Send us an email.
First Name *
Last Name *
Email *
Password *
Confirm Password *
Categories *
   Single Rider Membership (1 Year) - $30.00
   Sponsor + Single Family Membership - $10 Each Additional Member (1 Year) - $40.00
   Sponsor + Two Family Memberships - $10 Each Additional Member (1 Year) - $50.00
   Sponsor + Three Family Memberships - $10 Each Additional Member (1 Year) - $60.00
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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