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Tough Cookie Cycling Club
Registration Form
Personal Information:
Name:
Home Phone:
Work Phone:
Cell Phone:
E-mail:
Address:
Date of Birth:
Emergency Contact Information:
Name:
Phone:
Relationship:
Please choose your preference:
Weekly Rides:
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AM
-
PM
Monthly Rides:
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Saturday
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Sunday
- Jersey (women's S-XL) _____
- Cycling Short (women's S-XL) _____
- Jacket (mens' size XS-XL) _____
Waiver:
I hereby release liability and hold harmless the sponsors, and any and all groups, people, or facilities connected with TCDC Fitness, Inc./Tough Cookie Cycling Club from any loss, damage, or claims I may have arising out of my or my child’s participation in club activities, including personal injury or damage suffered by me or others, whether same be caused by falls, contact with other participants, conditions of the course, or otherwise. I further certify that I am physically fit to participate in club activities. I give my permission to TCDC Fitness, Inc to use any photographs, videotapes, or other recordings of me that are made during club events.
Signature of Participant (or parent/guardian for under 18) Date
Membership Fees: $100 (initiation fee includes cycling jersey) /$25 annual renewal fee.
Please fill out this form and bring it to our next meeting or mail together with your check payable to:
TCDC Fitness, Inc.
7301 Ranch Road 620 N. Suite 155, #289
Austin, TX 78726
512-431-6509
Team sponsors
