Membership application

 

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River Valley Mountain Bike Association

Membership Application 

Volunteers are the lifeblood of our MTB Association.  We encourage all members to donate a few hours each year to one or more of the activities listed just below.  Tell us what you want to do: 

[ ] Trail Maintenance   [ ]Festival/Race Volunteering

[ ] Member Activities   [ ] Leading Organized Rides 

Please Print Your Info 

Name _________________________________________ 

DOB _____________________  Gender _____________ 

Address _______________________________________ 

City _____________________State _____ Zip_________ 

Home Phone ___________________________________ 

Work Phone ____________________________________ 

E-Mail _________________________________________ 

New Member [  ] Renewing Member [  ] 

Membership:  Corporate/Bike Shops $100 [ ]  Supporting $50 [ ]   Family $15 [ ] 

Basic Individual $10 [ ]   Youth (18 & under) $5 [ ] 

Mountain biking is a rigorous, potentially dangerous sport, the practice of which can result in serious, life threatening injuries.  In consideration of my membership, I agree to not hold the RVMBA, or any of it members and/or directors liable for any injury or damage, however caused, which may result from my participation in any race or event of any sort sponsored by or linked to RVMBA and/or its affiliates. 

Signature ___________________________Date_______ 

Signature of Parent/Guardian if under 18 

__________________________________ Date________ 

Make checks payable to RVMBA & mail to:

RVMBA Membership

PO Box 701

Marietta, OH  45750