First name:
Last name:
Email:
Address 1:
Address 2:
City:
State: Zip:
Phone: ( ) -
Membership type: New membership Renewing membership
You are signing up for an annual subscription membership. If you want you can choose a one-time membership instead.
In consideration of my participation in the Lawrence Mountain Bike Club, I hereby release and agree to hold harmless said organizer and all other riders participating in club events from any and all claims for personal injury or property damages sustained to other members or to myself during such participation.