Registration for New X Elle Members Please enable JavaScript in your browser to complete this form.This is my first year as X Elle Member? *YesNoIf 'Yes', Welcome! You're in the right place! If 'No' please complete a Returning Rider Registration Form by returning to the previous page.Contact InformationName *FirstLastEmail *Mobile Phone# *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeDate of Birth *Emergency Contact InformationEmergency Contact Name (First & Last) *Emergency Contact Phone# *X Elle Jersey InformationWhat is your jersey size? *SMLXLXXLRace Fit or Relaxed fit (Race fit is snug to your body, like a traditional cycling jersey. Relaxed fit is more spacious in the chest and shoulders and longer in the body) *Race FitRelaxed FitGoals for the Cycling SeasonWhat do you hope to achieve with X Elle this season?How would you describe your current cycling skills? (There are no wrong answers! All skill levels are welcome!)Newbie! I can't wait to learn!Novice! I like to ride but would like to improve my riding!Intermediate (endurance)! I am an avid cyclist! My focus is on endurance, not speed!Intermediate (speed)! I am an avid cyclist! I like riding fast and faster!Advanced! I'm interested in advanced skills, racing and training with others!Other! If none of these describe you, that's great! Describe your riding style below:Optional text box to describe your specific interests as a cyclist:Cycling BC Insurance (not included)Insurance Requirement *I understand that I require Cycling BC Membership Insurance to be a member of X Elle CyclingCycling BC Membership Insurance can be purchased at https://cyclingbc.net/membership/registration/ Insurance is not included in your X Elle Cycling Membership and by checking this box, members agree to be fully insured to participate in X Elle Cycling activities.Medical QuestionsPlease list any ALLERGIES that Ride Leaders should know about:Please list any MEDICAL CONDITIONS that Ride Leaders should know about:WaiversMedia Release *I consentI do not consent AS PART OF ITS ACTIVITIES: TWO-X-ELLE CYCLING ASSOCIATION (X ELLE CYCLING) OFTEN PUBLISH PHOTOGRAPHS, VIDEOS, AND INTERVIEWS OF TWO-X-ELLE CYCLING ASSOCIATION ATHLETES IN THEIR RESPECTIVE PROMOTIONAL MATERIALS AND ON THEIR RESPECTIVE WEBSITES. IN ADDITION, THE TWO-X-ELLE CYCLING ASSOCIATION OFTEN RECEIVE REQUESTS FROM LOCAL AND PROVINCIAL MEDIA SOURCES TO PROVIDE BASIC PERSONAL INFORMATION ABOUT TWO-X-ELLE CYCLING ASSOCIATION ATHLETES FOR INCLUSION IN PUBLICATIONS. AS SUCH ACTIVITIES GENERALLY INVOLVE THE DISCLOSURE OF TWO-X-ELLE CYCLING ASSOCIATION ATHLETES’ PERSONAL INFORMATION, TWO-X-ELLE CYCLING ASSOCIATION HEREBY REQUEST YOUR CONSENT TO THE FOLLOWING ACTIVITIES: 1. THE TAKING OF PHOTOGRAPHS, VIDEOS OR INTERVIEWS OF TWO-X-ELLE CYCLING ASSOCIATION ATHLETES TO BE PUBLISHED IN PRINT, ELECTRONICALLY OR OTHERWISE BY THE TWO-X-ELLE CYCLING ASSOCIATION IN THEIR PROMOTIONAL MATERIALS, (INCLUDING BUT NOT LIMITED TO BROCHURES, BULLETINS, PROGRAMS, FLYERS, ETC.), ON THEIR RESPECTIVE WEBSITES AND IN PROVINCIAL AND LOCAL MEDIA SOURCES (NEWSPAPERS, WEBSITES, ETC.); AND 2. THE DISCLOSURE TO PROVINCIAL AND LOCAL MEDIA SOURCES OF TWO-X-ELLE CYCLING ASSOCIATION ATHLETES FIRST AND LAST NAMES, GENDER, AGE, HOMETOWN, ENROLLMENT IN ATHLETIC ACTIVITIES, ATHLETIC RESULTS AND ATHLETIC ACHIEVEMENTS TO BE PUBLISHED ALONGSIDE OR INDEPENDENTLY OF THE PHOTOGRAPHS, VIDEOS OR INTERVIEWS OF TWO-X-ELLE CYCLING ASSOCIATION ATHLETES DISCUSSED ABOVE (COLLECTIVELY, THE “ACTIVITIES”). WHILE TWO-X-ELLE CYCLING ASSOCIATION ARE SEEKING CONSENT AND RELEASE IN RELATION TO THE ABOVE ACTIVITIES, CONSENT IS NOT REQUIRED WITH RESPECT TO PUBLICLY AVAILABLE INFORMATION SUCH AS INFORMATION, PHOTOS AND VIDEOS COLLECTED BY OBSERVATION AT A PUBLIC SPORTING EVENT. TWO-X-ELLE CYCLING ASSOCIATION MAY RESTRICT SUCH ACTIVITY AT PUBLIC EVENTS. I HAVE READ THE ABOVE AND CONSENT TO TWO-X-ELLE CYCLING ASSOCIATION COLLECTING AND USING THE PERSONAL INFORMATION OF THE ATHLETE NAMED ABOVE FOR THE ACTIVITIES AND RELEASE TWO-X-ELLE CYCLING ASSOCIATION THEIR RESPECTIVE DIRECTORS, OFFICERS, EMPLOYEES OR THEIR AGENTS FROM ANY AND ALL LIABILITIES ARISING FROM OR IN ANY WAY CONNECTED TO THE ACTIVITIES. Acknowledgment of Risk & Release of Liability Waiver *I consentACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY DISCLAIMER: THIS IS A BINDING LEGAL AGREEMENT. AS A PARTICIPANT IN THE PROGRAMS, ACTIVITIES AND EVENTS OF X ELLE CYCLING (legally TWO-X-ELLE CYCLING ASSOCIATION), THE UNDERSIGNED ACKNOWLEDGES AND AGREES TO THE FOLLOWING TERMS: THE TWO-X-ELLE CYCLING ASSOCIATION AND RESPECTIVE DIRECTORS, OFFICERS, COMMITTEE MEMBERS, MEMBERS, VOLUNTEERS, PARTICIPANTS, AGENTS AND REPRESENTATIVES (COLLECTIVELY THE “ORGANIZATION”) ARE NOT RESPONSIBLE FOR ANY INJURY, PERSONAL INJURY, DAMAGE, PROPERTY DAMAGE, EXPENSE, LOSS OF INCOME OR LOSS OF ANY KIND SUFFERED BY A PARTICIPANT DURING, OR AS A RESULT OF, ANY PROGRAM, ACTIVITY OR EVENT OF THE ORGANIZATION, CAUSED BY THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH THE PROGRAMS, ACTIVITIES AND EVENTS OF THE ORGANIZATION. DESCRIPTION OF RISKS I REALIZE THAT TWO-X-ELLE CYCLING ASSOCIATION CLUB RIDES, HEREINAFTER “THE RIDES”, REQUIRE PHYSICAL CONDITIONING, AND I REPRESENT THAT I AM IN SOUND MEDICAL CONDITION. I HAVE NO PHYSICAL OR MEDICAL CONDITION THAT WOULD ENDANGER EITHER MYSELF OR OTHERS. I ACCEPT RESPONSIBILITY FOR THE CONDITION OF MY BICYCLE AND AGREE TO ABIDE BY ALL THE RULES OF THE RIDES, ESPECIALLY AS THEY RELATE TO THE WEARING OF A HELMET, FOLLOWING CLUB SAFETY RULES, AND BICYCLE LAWS. I ACCEPT THAT IF I DO NOT ABIDE BY THE RULES OF THE RIDES, I WILL BE ASKED NOT TO PARTICIPATE IN THE RIDES. I UNDERSTAND THAT BICYCLING CAN BE HAZARDOUS ACTIVITY THAT HAS MANY DANGERS AND RISKS, INCLUDING INJURY OR DEATH RESULTING FROM ACCIDENT OR PHYSICAL EXERTION. I UNDERSTAND THAT BICYCLING INVOLVES A RISK OF INJURY, AND THAT INJURIES ARE A COMMON AND ORDINARY OCCURRENCE OF THE SPORT. I AGREE, AS A CONSIDERATION OF, AND IN CONSIDERATION FOR, BEING PERMITTED TO PARTICIPATE IN THE RIDES, TO FREELY AND EXPRESSLY ASSUME AND ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH TO THE RIDER, OR PROPERTY LOSS OR DAMAGE, INCLUDING INJURY, DEATH, LOSS, OR DAMAGE ATTRIBUTABLE TO NEGLIGENCE OF TWO-X-ELLE CYCLING ASSOCIATION. RELEASE OF LIABILITY 1. IN CONSIDERATION OF THE ORGANIZATION ALLOWING ME TO PARTICIPATE, I AGREE: (A) THAT I DO NOT KNOW OF ANY MEDICAL CONDITION I MIGHT HAVE THAT COULD POSSIBLY MAKE IT UNWISE FOR ME TO PARTICIPATE IN THE ASSOCIATION’S ACTIVITIES, EVENTS OR PROGRAMS, INCLUDING BUT NOT LIMITED TO HEART CONDITIONS OR JOINT IMPAIRMENT; (B) TO FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE, EXPENSE AND RELATED LOSS, INCLUDING LOSS OF INCOME, RESULTING FROM MY PARTICIPATION IN SUCH ACTIVITIES, EVENTS AND PROGRAMS; (C) TO FOREVER RELEASE THE ORGANIZATION FROM ANY AND ALL LIABILITY FOR ANY AND ALL CLAIMS, DEMANDS, ACTIONS AND COSTS THAT MIGHT ARISE OUT OF MY PARTICIPATION IN THE ACTIVITIES, EVENTS AND PROGRAMS OF THE ORGANIZATION. 2. I ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT AND UNDERSTAND IT, THAT I HAVE EXECUTED THIS AGREEMENT VOLUNTARILY, AND THAT THIS AGREEMENT IS TO BINDING UPON MY HEIRS, EXECUTORS, ADMINISTRATORS, REPRESENTATIVES AND MYSELF. BY CHECKING THE "I CONSENT" BOX, YOU AGREE TO ALL THE TERMS OF THIS LIABILITY RELEASE AND WAIVER. * WebsiteSubmit