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2008 ERTC MEMBERSHIP APPLICATION

ERTC Membership includes certified coaching and training program development, fitness assessment, nutritional advice, goal planning, club newsletters, Alberta Bicycle Association (ABA) insurance, access to the Tuesday Night Race series, and access to all group training rides. By signing this membership form you are agreeing to adhere to club guidelines including those specific to volunteering and the ABA racing program. Collection of the following personal information is for the sole purpose of the operation of the ERTC. A list of the member names will be provided to the ABA. This information will otherwise not be provided to any third-party without prior consent of the member.

Name:____________________________ Address:____________________________ City:_______________ Postal code:______________ Birth date:________________ Home Phone:_____________ Work Phone:_____________ E-Mail:__________________________________

  • ___ $ 40 ERTC single Membership
  • ___ $ 60 ERTC family Membership (includes one adult and all children 15 and under)

    Volunteering

    ERTC operates based on the generous efforts of members, their families, and friends. Each club member is required to volunteer to work at two (2) events, please check below next to the events you will volunteer for:

  • ___ Casino night
  • ___ Pigeon Lake Road Race
  • ___ Tuesday night race
  • ___ Hosting an ERTC social event
  • ___ Running for ERTC executive
  • ___ Not sure (assignment will be selected for you)

    Volunteer Bond

    To help ensure all members are contributing a volunteer bond is collected each year. Members that volunteer for ERTC events or find a substitute will not have their volunteer bond returned. Failure to provide the bond or identify volunteer events will prevent the processing of your membership application.

  • ___ I have included a $100 volunteer bond cheque with my membership application.

    Racing

    ERTC provides support for those members with an Alberta Bicycle Association (ABA) license by paying race entry fees. Members planning to access this race funding must submit for review and approval a list of intended races. Fees will not be paid without approval from ERTC executive. Out of province races are subject to limitations. All members taking out an ABA license will be provided additional information regarding race funding.

  • ___ I plan on participating in ABA races and would like further information about race funding.

    Assumption of Risk:

    In consideration of this, my application for membership in the Edmonton Road and Track (1983) Club ("ERTC"): 1. I HEREBY agree to abide by all rules, regulations and event instructions of the ERTC and all applicable statutes and regulations; 2. I HEREBY acknowledge the nature of the events and related activities ("events") I am undertaking and the risks, which include but are not limited to, terrain, weather, conditions of equipment, other participants and vehicular traffic, and moreover voluntarily assume the risks of death, personal injury and property damage to myself and others during events; 3. I HEREBY attest and verify that I am physically fit and have sufficiently trained for these events and that a licensed medical doctor has verified my condition; 4. I HEREBY consent to any medical treatment deemed advisable in the event of any injury, accident or illness during any events; 5. FOR MYSELF, my heirs executors administrators, successors, and assigns, I HEREBY: 5a) waive and release any and all claims that I may have against the ERTC, its directors, officers, members, volunteers, employees, contractors, agents, sponsors, affiliated clubs or agencies including the Alberta Bicycle Association and the Canadian Cycling Association or any one or more of them or their heirs executors, administrators, successors or assigns ("the releasees") including any and all claims for damages including but not limited to death, personal injury, and property damage caused by the negligence of any of the releasees arising out of my participation in events, including lawyer's fees that may be incurred as a result of any such claim, whether valid or not, and; 5b) indemnify and save harmless the releasees and each of them from any of my actions during such events and any and all claims arising therefrom, including lawyer's fees that may be incurred as a result of any such claim, whether valid or not.

  • Signature of applicant __________________________ Date ___________

    As a parent or legal guardian of an applicant under the age of 18 years, I have read and understood the above and accept its terms and conditions on the applicant's behalf.

  • Signature of parent or guardian ___________________________Date _____________

    Please ensure that this membership appliation is complete and includes:

  • ___ cheque for club membership fee
  • ___ cheque for volunteer bond
  • ___ selected two (2) volunteer events
  • ___ your signature and signature of parent or guardian (if required)

    Return this complete form and appropriate cheques to any ERTC executive, or to Revolution Cycle at 15103 Stony Plain Road. Make cheques payable to "The Edmonton Road and Track Club"