Name

Date of Birth Age as of 12/31/21

Your Gender

Address

City State Zip

E-mail Phone (cell)

Phone (other)

USA Cycling License No. Class (Sr., Jr.)

Category (Road) Category(Track)

Category (Mtn.)

What committees or activities are you interested in helping with? (e.g., ride leader, sponsorship, social media, etc.) List options

Do you have potential club cash/product sponsorship contacts? if so, please identify

How often do you race per year?

Your greatest cycling accomplishment

Racing emphasis (check one or more)
Road Criterium Track Time trial Cyclocross
Mountain Commuting

2021 Los Gatos Bicycle Racing Club Liability Waiver

RELEASE OF LIABILITY -- READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the Los Gatos Bicycle Racing Club program, its related events and activities, I, , the undersigned, 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 LGBRC 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 THE LOS GATOS BICYCLE RACING 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.

PARTICIPANT'S SIGNATURE: (Filling text field with your name indicates your signature.)

Age: Date Signed:

There are a few ways to join LGBRC and pay: 1) Snail mail or e-mail the filled out form to bgordonfnace@gmail.com and a send a “LGBRC” check to the address on the top of the first page or 2) pay via PayPal (see lower section of https://www.lgbrc.org/joining.html ) and snail mail or e-mail the form to bgordonfnace@gmail.com

Our clothing (e.g., SS jerseys, LS jerseys, shorts, bibs, knickers, skinsuits, vests, jackets, windbreakers, tri clothing, etc. except team socks) is ordered on-line. A link to team clothing will be provided to you after we receive your membership.

LGBRC Club and Member Expectations

The LGBRC mission is to provide a supportive bicycle racing organization for all members to achieve their personal and team cycling goals. The club will strive to promote a quality program that includes support, training, coaching and social activities. To achieve our goals, the club and its members will conduct themselves within the following framework:

1. All members living in California MUST volunteer to help with club activities. A lack of compliance with this requirement will result in no club support such as race rewards, participation in club deals, etc., possible prohibition of membership renewal and possible dismissal from the club.

2. All members will strive to be supportive and positive with mutual respect for one another, conduct themselves in a professional manner and with good sportsmanship, place the interests of their teammates over individual interests, pay any debts to their teammates and will ride their bikes in a responsible and safe manner.

3. The club and membership will conduct itself within the laws of the land.

4. The club will strive to avail itself of high quality coaching for novice, intermediate and advanced cyclists through a structured training and skills clinics, learning from other club members and coaches and caring about individual goals as well as group goals.

5. The club will promote our sponsors by participating in local, state, national and world competitions while wearing the most recent team kit during the race, on the podium and by being knowledgeable of our sponsors products and attributes. More specifically:

a. Members shall provide positive comments regarding sponsors. If you have anything negative to say, say it in a constructive fashion; turn it into positive feedback. Most sponsors do want constructive feedback for products improvements.

b. If you participate in any club sponsorship program, you are obligated to not remove the decals or deface the product that impacts the company name in any way. In fact, some of our sponsorship contracts specifically note this obligation.

c. Never directly contact a team sponsor. Contact the club member sponsor representative as identified on our website. This has been a serious complaint from several sponsors for several years.

6. Note that all possible sponsorship deals must be sent to the club President first and s/he will forward the message to only the active members of the club, i.e., non-active members do not qualify for club deals.

7. Our Facebook link: https://www.facebook.com/groups/LGBRC/

8. You compete wearing an up to date COMPLETE TEAM KIT (jersey and shorts) to be eligible for full racing support.

9. All candidate junior racers must have a USA Cycling racing license prior to joining the LGBRC and must participate in at least five races to obtain LGBRC support.

10. All elite team riders must be actively racing to obtain clothing support.

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