REMEMBER! You must complete and submit both the Insurance Waiver of Liability and the Membership Application.

Cambridge Valley Cycling – Membership

(right click on this page to print a paper copy)

Membership is $25/individual and $40 for families with family minors free. If you would like to join Cambridge Valley Cycling, please print a copy of this application, fill in the necessary information, and mail it along with your check to: Charlie Muller, 1093 Old Depot Road, Shaftsbury, VT 05262

No one may participate in any riding activity unless a waiver of liability has been signed.

Name___________________________________________________

Address _________________________________________________

Phone___________________________________________________

e-mail __________________________________________________

Date of Application _________________________________________