Membership

Page Valley Cycling

Page County, Virginia
Four traffic lights and growing!

Membership

Page Valley Cycling
Membership Application

Questions? Email club President David Duke.

Please fill out form below and mail payment to: Page Valley Cycling, P.O. Box 21 Luray, VA, 22835.

All members must sign a waiver that can be found at all club events or online.

Want to mail a hard copy: use this form.

Today's Date:
Date of Birth: (Members under 18 must have parent/guardian signature)
Name:
Address:
Home Telephone:
Cell:
Email:
Emergency Contact (name and phone):

Please check one of the following types of annual membership:	Individual $20
	Family $30

If family membership, please list immediate family members' names:
I and my family members (if applicable) request annual membership with Page Valley Cycling (PVC). Furthermore, I/we understand the inherent risks of cycling and will not hold PVC responsible for bodily harm or property damage that may occur during club events and will follow PVC club rules while at PVC functions.
Type yes if you agree to the terms:

Club Rules

All club members are expected to behave in an appropriate manner when representing the club.

During club rides:
Helmets required
Obey traffic laws at all times
Obey ride leader