Ridge Riders Mountain Bike Association
Membership Form

Date:                                                     

Name:                                                                                                                                                  

Address:                                                                                                                           

City:                                                                                                                                

State:                                      Zip:                                                                                 

Phone Number:                                                                                                                

E-mail Address:                                                                                                               

Your interest include (check all that apply)
Group Rides Trail Maintenance Family Activities Racing Freeriding
Other                                                                                       

Ridge Rider Membership - $40 (single or family - includes TOE pass)

Please make checks payable to:

Ridge Riders Mountain Bike Association

and return this form to:

Ridge Riders Mountain Bike Association
3244 Sanoma Drive
Lakeland FL 33811

For more information regarding RRMBA:

contact Kent Hickman @ (863) 619-5001
or e-mail: rrmba@tampabay.rr.com

By signing this form I hereby for myself, my heirs, executors and administrators, release and forever discharge and hold harmless the Ridge Riders Mountain Bike Association, it's members agents, servants, representatives, successors and assignees from all liability arising from or connected in any way with my participation in these events (or my child's participation in these events). I understand that there are risks inherent in my participation in these bicycle rides, and I voluntarily assume such risk, knowing that my personal property may be damaged or destroyed and that I might suffer severe bodily injury or death.  I recognize it is my responsibility to ride in a safe and legal manner and I agree to do so.

Signature:                                                                                                                                   

Parent or Guardian (if under18):