REMEMBER! You must complete and submit both the Insurance Waiver of Liability and the Membership Application.

Cambridge Valley Cycling – Membership

(right click on this page to print a paper copy)

Membership is $10.00 per year for individuals, $18.00 for couples, and $25.00 for families. If you would like to join Cambridge Valley Cycling, please print a copy of this application, fill in the necessary information, and mail it along with your check to: Mike Taylor, 98 Westview Place, Shaftsbury, VT 05262.  No one may participate in any riding activity unless a waiver of liability has been signed.

Name___________________________________________________

Address _________________________________________________

Phone___________________________________________________

e-mail __________________________________________________

Date of Application _________________________________________