GVBC Membership Online Form

Are you NEW or RENEWING?*

New Membership
Renewing Membership

Membership Type*

Individual Membership ($15.00)
Family Membership ($25.00)

Individual Member Contact Information

Individual Member Name*

First Last

Individual Member Email*

Individual Member Mailing Address*

Street Address Address Line 2 City State ZIP Code

Family Membership Contact Information

Primary Family Member - Name*

First Last

Secondary Family Member - Name*

First Last

Primary Family Member Email*

Secondary Family Member Email

Additional Family Members

I have more family members to add.

Additional Family Member 1 - Name

First Last

Additional Family Member 1 Email

Additional Family Member 2 - Name

First Last

Additional Family Member 2 Email

Family Membership Address Address*

Street Address Address Line 2 City State ZIP Code

Consider making a donation!

Donation Amount

Donation to support cycling activities aimed at fulfilling GVBC’s mission of “providing cycling activities that promote recreation, individual health, education, and advocacy and encouraging a more bicycle friendly community in the Gallatin Valley, as well as supporting shared-use trails in appropriate and accessible locations.” Note - Our current tax status does not provide for donations to be tax deductible.

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GVBC Training Series

Tuesday night road cycle race series, click here for more information. Select the quantity of entries, and then input racer names.

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If you have never participated in the series before, if your phone number has changed, or if you lost your race number, please following these instructions. For EACH person participating in the series, you must fill out a separate form here to get on the email list, receive text alerts, and be issued a race number.

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Adult Racer 1

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Junior Racer 1

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Adult Racer 2

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Junior Racer 2

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Adult Racer 3

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Junior Racer 3

Comments and Feedback?

How can GVBC better promote cycling in the Gallatin Valley and surrounding areas?

Please select ALL topics that you are interested in.

Advocacy
Trails
Touring
Road cycling
Mountain biking
Racing

GVBC Membership Accident Waiver and Release of Liability

Please read and check the box at the bottom accepting waiver and release.

In consideration of being permitted to participate in any way in the GALLATIN VALLEY BICYCLE CLUB activities I, for myself, my representatives, assigns, successors, and heirs represent and agree as follows:

I acknowledge that this athletic event or Activity is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to athletics, but are also present for volunteers.

I hereby assume all of the risks of participating &/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person. 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. If at any time I believe conditions to be unsafe I will immediately discontinue further participation in the activity.

I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors and organizers, in which I may participate and that it will govern my actions and responsibilities at said events. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS:

The GALLATIN VALLEY BICYCLE CLUB, and their directors, officers, employees, volunteers, representatives, and agents, the event holders, event sponsors, event directors, event volunteers; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entitles as a result of any of my actions during this event.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and or illness during this event.

I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and or assigns.

This AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I hereby certify that I have read this document; and, I understand it's content. I understand that I have given up substantial rights by signing this AWRL and have signed it freely and without any inducement or assurance of any nature. By signing this document you may be waiving your legal right to a jury trial to hold the provider legally responsible for any injuries or damages resulting from risks inherent in the sport or recreational opportunity or for any injuries or damages you may suffer due to the provider's ordinary negligence that are the result of the provider's failure to exercise reasonable care.

Waiver acceptance checkbox (you must check the box below)

Member Release acceptance*

I have read and agree to the GVBC Accident Waiver and Release of Liability

NOTE!
You must check this box to be able to submit your membership. The SUBMIT button will not be visible at the bottom of the page until you check this box.

Pay and submit membership

Total

$0.00

Total Cost

Payment Method*

You can pay online with a credit card, PayPal. You do not need to have a PayPal account. We strongly encourage members to pay online, as this makes the process more efficient for our volunteer board. Or you can mail a check.

I want to pay with a credit card via PayPal
I'll mail a check. I'm old-school.

If you do not see a SUBMIT button here then you need to check BOTH waiver checkboxes above. Please make sure you have filled all the fields marked with an * including the waiver checkboxes. Thanks!

Phone

This field is for validation purposes and should be left unchanged.

GVBC Membership Online Form

Individual Member Contact Information

Family Membership Contact Information

Consider making a donation!

GVBC Training Series

Comments and Feedback?

GVBC Membership Accident Waiver and Release of Liability

Waiver acceptance checkbox (you must check the box below)

Pay and submit membership

Total Cost

If you do not see a SUBMIT button here then you need to check BOTH waiver checkboxes above. Please make sure you have filled all the fields marked with an * including the waiver checkboxes. Thanks!

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