Almaden Cycle Touring Club: ACTC Membership Application; ?>

ACTC Membership Application

Application for a new membership.

To apply for membership with the Almaden Cycle Touring Club complete the form below and click the Submit button.

Membership Application Type (Required)

Single or Family

Payment Method

Dues are $25 per year for an individual, or $30 per year for a family.

Member Information (Required)

First Adult (include primary contact email and phone number)

First Name

Last name

Liability waiver and code of conduct agreement

Primary Email Secondary Email

Phone

Secondary Phone

Show club stats on the website

Second Adult (include primary contact email and phone number) - for family memberships only

First Name

Last Name

Liability waiver and code of conduct agreement

Primary Email Secondary Email

Phone

Secondary Phone

Show club stats on the website

Street address

City

State

Zip
-

Children - For Family Memberships Only

First Names

For families with children listed, you must complete and email in a printed Waiver of Liability.

Emergency contact

Emergency Phone

Emergency Note

Additional Options Club Directory Options? Include my information in Club Directory
If Included show my Address Phone Email

Release and Waiver of Liability, Code of Conduct Please read the waiver carefully: (printed version) . Each Adult must individually indicate their agreement above next to their name. For families with children, you must complete a paper Waiver of Liability form and provide to the Membership Chair (photograph over email is acceptable).

By selecting "Agree" above to the right of your name for the liability waiver, you agree, warrant and covenant as follows:

        RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY, AND PARENTAL CONSENT AGREEMENT
("Agreement") for LEAGUE OF AMERICAN WHEELMAN D/B/A LEAGUE OF AMERICAN BICYCLISTS ("LAB") (this form is to only be used for Individual Adults or for Adults on behalf of Minors)

IN CONSIDERATION of being permitted to participate in any way in Almaden Cycle Touring Club ("Club")  sponsored  Bicycling Activities ("Activity") I, for myself, my personal representatives, assigns, heirs, and next of kin:

1.  ACKNOWLEDGE, agree, and represent that I understand the nature of Bicycling Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity.  I further acknowledge that the Activity will be conducted over public roads and facilities open to the public during the Activity and upon  which  the  hazards  of  traveling  are  to  be  expected.    I  further  agree  and  warrant  that  if,  at  any  time,  I  believe  conditions  to  be  unsafe,  I  will  immediately  discontinue further participation in the Activity.

2.    FULLY  UNDERSTAND  that  (a)  BICYCLING  ACTIVITIES  INVOLVE  RISKS  AND  DANGERS  OF  SERIOUS  BODILY  INJURY,  INCLUDING VIRAL  INFECTIONS,  BACTERIAL INFECTIONS AND OTHER COMMUNICABLE DISEASES AND ILLNESSES,PERMANENT DISABILITY, PARALYSIS AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I may incur as a result of my participation in the Activity.

3.  HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, the LAB, its respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS.  And, I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

I AM 18 YEARS OF AGE OR OLDER, HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY  SIGNING  THIS  AGREEMENT,  HAVE  SIGNED  IT  VOLUNTARILY  AND  WITHOUT  ANY  INDUCEMENT  OR  ASSURANCE  OF  ANY  NATURE  AND  INTEND  IT  TO  BE  A  COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.  I AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
MINOR RELEASE

(for Participants Under the Age of 18)

AND I, THE MINOR\'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THE MINOR\'S EXPERIENCE AND CAPABILITIES AND  BELIEVE  THE  MINOR  TO  BE  QUALIFIED,  IN  GOOD  HEALTH,  AND  IN  PROPER  PHYSICAL  CONDITION  TO  PARTICIPATE  IN  SUCH  ACTIVITY.    I  HEREBY  RELEASE,  DISCHARGE,  COVENANT  NOT  TO  SUE,  AND  AGREE  TO  INDEMNIFY  AND  SAVE  AND  HOLD  HARMLESS  EACH  OF  THE  RELEASEES  FROM  ALL  LIABILITY,  CLAIMS,  DEMANDS,  LOSSES,  OR  DAMAGES  ON  THE  MINOR\'S  ACCOUNT  CAUSED  OR  ALLEGED  TO  BE  CAUSED  IN  WHOLE  OR  IN  PART  BY  THE  NEGLIGENCE  OF  THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR\'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

Code of Conduct By selecting "Agree" above to the right of your name you agree to abide by the club Code of Conduct:

         As a member of the Almaden Cycle Touring Club (ACTC), I represent ACTC whenever I participate in an ACTC event, and/or whenever I wear apparel that includes the name and/or logo of ACTC.  Whenever I represent ACTC, I will:

- Practice good sportsmanship and conduct myself in a respectful manner at all cycling and non-cycling events.
- Abide by all relevant traffic regulations, respect the rules of the road, and ride in a safe manner at all cycling events.
- Inappropriate and unacceptable behavior includes, but is not limited to:

  * Physical abuse to any person or property while riding or at any club event.
  * Use of foul language, making obscene gestures toward any person while riding or at any club event.
  * Malicious actions at a club event that endanger the well-being of others.
  * Unlawful activity, including theft or fraud, intentional damage to property; and use, sale, possession, or distribution of illegal drugs.
  * Non-consensual physical contact, threatening or bullying behavior, unwanted sexual advances, and any other disrespectful behavior.
  * Conduct that is hostile, abusive, harassing, or discriminatory toward others.
  * Excessive consumption of alcohol at club events or participating in these events while inebriated or under the influence of illegal drugs.
  * Other inappropriate conduct that reflects poorly on the club and/or upon cycling in general.
  * Repeated failure to honor commitments undertaken as an ACTC member.

Members who experience or witness inappropriate or unacceptable activity as outlined above should promptly report the issue to a club officer (President, Vice-President, Secretary, Treasurer, or Current Past President). We urge that such reports be in writing, with a description of the incident(s), names of the individuals involved, names of witnesses, and include date, time, and location information.


ACTC members must be conscious of their role as ambassadors to the non-cycling and recreational cycling communities. The ACTC logo, such as on apparel, is an advertising vehicle for the club. Inappropriate behavior and/or failure to abide by bicycling traffic laws can be extremely detrimental to the club's image.

ACTC Membership is a privilege. Membership may be revoked, suspended, or denied if an assembled quorum of the Board determines by a 2/3 majority that a member is in material violation of this Code of Conduct.

Submit Application

You must click on the Submit button after filling in this form or your information will not be sent!