Rainbow Cyclists Membership Application

We don't have online signups yet, and we can't accept credit cards or cybercash. If you want to join Rainbow Cyclists, please print out this form and mail it with your check or money order to:

     Rainbow Cyclists
     P.O. Box 3344
     San Diego CA 92163


Name: _______________________________________________________

Date of birth (optional): _______________

   ___ Male       ___ Female

E-mail: _________________________

Address: ____________________________________________________________

City: _______________________________  State: ______  ZIP: __________

Phones: Home (___) ________  Work (___) ________  Cell (___) ________

Do you ride a ___ touring, ___ off-road, or ___racing bike?
Check all that apply.

Shall we put your name and home phone in the club directory?
___ yes   ___no

Whom should we contact in case of emergency? ________________________
_____________________________________________________________________

Individual Membership ...................... $ 5.00 per year
Large 9-inch iron-on club decal ............ $ 3.00
Small 4-inch iron-on club decal ............ $ 2.00
Optional membership in SDCBC ............... $10.00 per year PER PERSON

As a Rainbow Cyclists member, you may become an individual member of the San Diego County Bicycle Coalition (SDBC) by paying only $10 dues per year, instead of the usual $20 per year.

By joining Rainbow cyclists, you waive, release, and forever discharge the club, its membership, other ride participants, Athletes-in-Motion and LGMCC from any and all claims for personal injury and property damages sustained traveling to, during, or following club rides and activities.

Signed: _____________________________________  Date:_______, 20____

        _____________________________________  Date:_______, 20____

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