Ardmore 610 649-9839
47 W Lancaster Ave
M-F 11-7
SAT 10-6
SUN 11-4
Manayunk 215 487-7433
4159 Main Street
M-F 11-7
SAT 10-6
SUN 11-4
 
 
 
 
 
 
 

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Cycling Club Application

2013 Human Zoom Cycling Club Website

Join Our Cycling Club

COME RIDE WITH US — AND LIVE THE DREAM.

Our cycling club's mission is to build the greater cycling community by promoting bicycling as a healthy, environmentally friendly, and enjoyable activity that will make our world a better place. We advocate cycling as a great activity for fun, fitness, and transportation. We are living the dream of bicycling for a better world, and we hope you will too.

Club Benefits

2015 Human Zoom Bikes & Boards Cycling Club member benefits include:

  • Cycling Club jersey manufactured by Voler Clothing
  • Cycling Club t-shirt
  • 1 Free Human Zoom Water Bottle
  • 10% discount at Human Zoom Bikes & Boards(Bikes and Sale items excluded)
  • 1 Free Indoor Group Ride Class($15.00 value)
  • VIP invitations to all Human Zoom Bikes & Boards events
  • Discount on Human Zoom Bikes & Boards paid participation events
  • Human Zoom Bikes & Boards informative weekly e-newsletter
2012 Human Zoom Bikes and Boards Cycling Club Jersey by Hincapie

Everyone is welcome to join the Human Zoom Bikes & Boards Cycling Club, regardless of skill level or type of cycling activity.

So sign up and JOIN OUR CYCLING CLUB today!

 

*After submitting the form below you will be directed to our online store where you must finalize your transaction by submitting your 2015 cycling club membership fee of $100.00

Name:*
Street/Road:*
City/Town:*
State:*
Zipcode:*
Phone:*
E-Mail:*
Years Cycling:*
Jersey Size:*
X-Small
Small
Medium
Large
X-Large
XX-Large
Gender:*
Female
Male

Liability Waiver

HUMAN ZOOM BIKES AND BOARDS CYCLING CLUB WAIVER AND RELEASE OF LIABILITY -- READ BEFORE SUBMITTING In consideration of being allowed to participate in any way with HUMAN ZOOM BIKES AND BOARDS CYCLING CLUB, its related events, activities, and programs, I acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Club immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS HUMAN ZOOM BIKES AND BOARDS CYCLING CLUB, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. MY SUBMISSION OF THIS FORM IS MY SIGNATURE

Note: * indicates required information.

 

Ardmore 610 649-9839   | Manayunk 215 487-7433

M-F 11-7, SAT 10-6, SUN 11-4    |    M-F 11-7, SAT 10-6, SUN 11-4 

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