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 - $30 (single or family)

Please make checks payable to:

Ridge Riders Mountain Bike Association

and return this form to:

Ridge Riders Mountain Bike Association
5551 Russo Road
Bartow FL 33830

For more information regarding RRMBA:

contact Raymond Wells @ (863) 559-7588
or e-mail: rrmba@hughes.net

   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):