Create Application for Gainesville Cycling Club Membership

Complete this form and then print and mail in the next page with your dues and signature to join the club.

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Complete a form for each member of a family membership.

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*First Name
*Last Name
*Address
*City
*State
*Zip Code
Date of Birth
Land Line Number
Cell Phone Number
Email Address
Check here if you do NOT want to receive club ride announcements and event information via email
When riding with a group, how fast do you prefer to go on flat terrain? (Typically, A Riders average 19-21, Gliders 18-19, High Bees 16-18, LoBees 15-16, Strays 13-15, Pedalers 12-14, and EZ Riders 10-12)
Specify a mph range (eg 13-16)
How far to you prefer to ride on weekend group rides?
Specify a mileage range (eg 15-30)
I ride primarily on the road
I ride primarily on off road trails (mountain biking)
I ride primarily on paved trails (rails to trails)
The GCC is an all volunteer club. Which activities will you consider participating in?
Leading rides
Adopt-A-Road cleanups
Helping write the newsletter
Helping address and mail the newsletter
Non-cycling jobs at club events (registration, sag wagon, etc)
Artwork, graphics
Club leadership position
Organizing, hosting, or helping with parties
Any other area where I can help
AFFILIATIONS .....................................................................
League of American Bicyclists (LAB)
Florida Bicycle Association (FBA)
Adventure Cycling Association (ACA)
International Mountain Bike Association (IMBA)
Randonneurs USA (RUSA)
Ultra Marathon Cycling Association (UMCA)
United States Cycling Federation (USCF)
Rails To Trails Conservancy (RTTC)
Share The Road tag on my car
Check here to have your name withheld when the club distributes its membership list for use by other organizations, such as the League of American Bicyclists and Bicycling Magazine.
Check here to have your address and phone number withheld when the club distributes its membership list to club members (for personal, non-commercial use only).
COMMENTS ...............................................................................
Choose one of the following membership options:
Individual Membership, $15 first year, $12 each additional year
Family Membership, $20 first year, $15 each additional year
Full Time Student Membership, $10 limited to one year
Add me as a family member of (enter name of paid member)
No additional charge to add members to family membership.
Sign me up for the indicated number of years. (Individual and Family Memberships)  
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