The Oz Bicycle Club of Wichita
Membership Application

You may either print out the form below and send it in or download the .pdf and mail that in. Membership Application

If you don't have Adobe Acrobat, get it here.

Liability Release
I acknowledge that by signing this document I am releasing The Oz Bicycle Club of Wichita ( OBC ) AND OTHERS FROM LIABILITY. THIS IS A CONTRACT WITH LEGAL CONSEQUENCES. I HAVE BEEN ADVISED TO READ IT CAREFULLY BEFORE SIGNING.

In consideration of OBC allowing my participation in OBC sponsored events:
I acknowledge cycling is inherently dangerous and fully realize the dangers of participating in bicycle rides and FULLY ASSUME THE RISKS ASSOCIATED WITH PARTICIPATION INCLUDING, without limitation: collision with cyclists, pedestrians, vehicles, and fixed or moving objects; surface hazards, equipment failure, inadequate safety equipment, THE RELEASED PARTIES' OWN NEGLIGENCE, weather conditions and the possibility of serious physical and/ or mental injury.

I HEREBY WAIVE, RELEASE, HOLD HARMLESS, PROMISE NOT TO SUE AND INDEMNIFY OBC, law enforcement agencies, all public entities, and their agents, officials, and employees ("Released Parties") FROM ANY and all rights and CLAIMS INCLUDING CLAIMS ARISING FROM THE RELEASED PARTIES' OWN NEGLIGENCE, which I may have for any damages sustained by me in connection with my participation in any event, or travel to or from any event.

I agree, should I assert claims prohibited by this agreement I shell be liable for expenses (including legal fees) incurred by the defending party unless the defending party is finally adjudged liable. This agreement shall bind my heirs, legal representatives, successors or assigns.

Please read the above Liability Release and sign below. Each family applicant must sign. Those under 18 years old must have a parent or guardian signature.

Date ____________

FEES: Individual $15.00 per year
           Family $20.00 per year

Renewal __ New __

(Please print or type)
Address _______________________________________ Apt/Lot__________________ City _______________________________ State ______ ZIP _____________________ Home Phone ________________________ Work Phone _________________________ Occupation _________________________ Recuited by __________________________

Membership spans April 1 - March 31

Make checks or money orders payable to:
Oz Bicycle Club of Wichita

Mail this application with your check to:
Membership Application
Oz Bicycle Club of Wichita
PO Box 1144
Wichita KS 67201-1144