Just print, then fill out our easy form and send it, along with your check, to: Color Country Cycling Club, PO Box 2661, Cedar City UT 84721. Or just click on the Buy Now button below and pay with your credit card. It's so easy! Go ahead and do it, we're waiting for you to join in the fun!

Name_______________________________________________________________ Age__________

Address___________________________________________________________________________

Phone______________________ Would you be willing to volunteer for a club event?_____________

Cycling preferences_________________________________ Email_________________________

Annual dues are: Individual $15, Family $20, Youth (under 16) $10, Senior (over55) $10, Business $25.

Donations are welcome! Amount enclosed $_______________

I acknowledge that cycling is a dangerous sport/activity in which I participate at my own risk. The Color Country Cycling Club (CCCC) is a non-profit organization formed to advance the causes of safe cycling, the efforts of which directly benefit myself. In consideration of the agreement of the CCCC to issue membership to me, hereby for myself, my heirs, assigns and personal representatives, I waive, release and forever discharge the CCCC, it's employees, officers, directors, agents, members, sponsors, promoters, and affiliates whosoever from any and all liability, claim, loss, cost or expense arising from or attributable in any legal way to any act or omission to act, of any such person or organization, sponsorship or execution of any CCCC workout, race, or event, including to and from said activity in which I may participate as a CCCC member, contestant or spectator. To the best of my knowledge I have no physical condition that would interfere with my ability to participate in or attend any said event, or would endanger my life thereby. The CCCC is a private club and as such will grant membership only to those members it chooses. The Presidency of the club will cancel the membership of any club member whose actions are determined to be detrimental to the enjoyment, safety, and public image of safe responsible cycling, or is convicted of a crime that affects the image of the club.

Signature______________________________________________ Date_____________________

Parent signature (if under 18 years of age)______________________________________________

Annual Dues