Membership Application First and Last Name * Email Address * Mailing Address City, State, Zip Home Phone Cell Phone Date of Birth JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031 What are your main cycling interests (Road, Triathlon, Mountain Biking, etc.) What is your USCF Race Category? USCF License Number US Triathlon Membership Number How often do you typically ride/how many miles per week? If you race, please describe the typical races (bike and/or triathlon) that you compete in each year (number of races, types of race) How competitive do you consider yourself? Please tell us, why do you ride your bike? Please describe your cycling and/or triathlon goals. What do you hope to accomplish from your riding? Please tell us why you are interested in joining Team Vitesse? How did you find out about Team Vitesse? I acknowledge that cycling is an inherently dangerous sport in which I participate at my own risk. By applying to membership in Team Vitesse I agree that on behalf of myself and my heirs, assignees, and personal representatives, I release and forever discharge Team Vitesse, its sponsors, employees, agents, members, promoters, and affiliates from any and all liability, claim, loss, cost, or expense, and I waive and promise not to sue on any such claims against any such person or organization, arising directly or indirectly from or attributable in any legal way to any action or failure to act of any such person or organization in connection with sponsorship, organization, or execution of any bicycle racing or sporting event, including travel to and from such event, in which I may participate as a rider, team member, club member, or spectator. I currently have no known physical or mental condition that would impair my capability for full participation as intended and expected of me. Do you accept these conditions? * Yes No |Home| |SoMo TT 2010 Results| |SoMo TT 2010 Results By Cat| |SoMo TT 2010 Team Results| |South Mountain TT| |SoMo TT Records| |Sponsors| |The Team| |Membership| |Traditions| |Team Gear| |Ride Policy| |Tri Cal|