Chinook Cycling Club

PO Box 939

Yakima, Wa 98907

Membership Application

Individual $15.00 - Family $20.00

Name     _________________________________________________________

Address     _______________________________________________________

City    __________________    State     ______________    Zip    ____________

Phone    ___________________________     E-Mail    _____________________

If you would like to receive your newsletter by  EMAIL Only, please indicate here    ____

WAIVER AND RELEASE:  IN CONSIDERATION OF THE ACCEPTANCE OF MY APPLICATION FOR MEMBERSHIP IN CHINOOK CYCLING CLUB, I HEREBY WAIVE. RELEASE, AND DISCHARGE ALL CLAIMS FOR DEATH, PERSONAL INJURY, OR PROPERTY DAMAGES WHICH I MAY HAVE OR WHICH MY HEREAFTER ACCRUE TO ME AS A RESULT OF MY PARTICIPATION IN CLUB ACTIVITIES. I REALIZE THAT THERE ARE CERTAIN DANGERS IN INHERENT IN THE SPORT OF CYCLING, AND I ASSUME THE RISK OF INJURIES THAT MAY RESULT FROM THOSE DANGERS, INCLUDING MORTAL AND/ OR SERIOUS BODILY INJURY. THIS RELEASE IS INTENDED TO DISCHARGE THE CHINOOK CYCLING CLUB, THE USCF/NORBA/USA CYCLING, THE CLUBS SPONSORS AND AGENTS FROM AND AGAINST ANT ALL LIABILITY ARISING OUT OF OR CONNECTED IN ANY WAY WITH MY MEMBERSHIP IN THE CLUB, EVEN THOUGH THAT LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF PERSONS OR ENTITIES MENTIONED ABOVE. THIS WAIVER AND RELEASE SHALL BE BINDING ON MY HEIRS AND ASSIGNS. I ALSO HEREBY AGREE TO WEAR ANSI AND/ OR SNELL APPROVED HELMET WHEN PARTICIPATING IN ANT CLUB ACTIVITY TO INCLUDE, BUT NOT LIMITED TO CLUB RIDES, RACES, AND TOURS.

Signature_______________________________   Date     _______________

Club meetings are the 4th Monday of every month, held at the Yakima Athletic Club @ 7:30 PM. Your input is needed and appreciated! Can't make a meeting? Call With your ideas.

We still have clothing! Here is a list of items and prices, some sizes are gone, but get ready for 2001 with some new club clothing.

Information on clothing:          Mark Cleaver (509) 678-5836 or markcleaver@ewa.net                         

Short sleeved jersey ($35)       Long sleeved jersey ($45)       Vest ($35)       Knickers ($40)

Shorts ($35)       Hats ($14)       T-shirts ($12)      Long sleeved T-shirts ($12)