Membership Form

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Last Name
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Please indicate which sports you are interested in participating in
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Please indicate your jersey size
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In consideration of being permitted to participate in any way in Team Echelon-sponsored bicycling activities: I do hereby, for myself, for my heirs, executors, and administrators waive, release, and forever discharge any and all rights and claims for property damage and/or personal injury which I may have or which may occur to me, against the Team Echelon members or any of their officers, members sponsors, agents or representatives, arising out of traveling to, participating in, or returning from an of these activities.

I promise to abide by the Code of Conduct of Team Echelon and such other rules and regulations as may be adopted. I apply for membership in good faith and intend to represent Team Echelon during competition with fair play and good sportsmanship.

Your signature indicates you have read, understand and agree to all of the conditions listed above. All Adult members must sign release.

Signature
Today's Date

By checking this box I agree to all the terms and conditions as outlined in this form and as set forth in the Team Echelon Code of Conduct

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