City Cycling Club - Membership Registration

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MembershipForm

MembershipForm



Format (mm/dd/yyyy)
999 999 9999
Bank Account Details
Account Name: City Cycling Club
Bank: First National Bank
Account No: 502 600 107 95
Branch Code: 204 709
Reference No: Please use your ID number. You can upload your PDF proof of payment below, or send attachment to info@citycyclingclub.co.za
Maximum upload size: 5MB

Waiver & Indemnity

I acknowledge that City Cycling Club is a voluntary association with the aim of promoting cycling activities for its members, their friends and other members of the cycling public. I also recognise that the sport of cycling is an inherently dangerous activity. I therefore accept any and all risks incidental to the cycling activities organised and conducted by City Cycling Club and hereby indemnify and hold harmless City Cycling Club, its Chairman, Committee, Treasurer, Secretary, members, Organisers, their Family, Employees and Agents; and hereby waive and abandon on behalf of myself, my heirs, dependants, administrators, executors and assigns and claims resulting from my death or injury to myself or loss or damage to my property or otherwise which may in any way arise from the said cycling, transportation, or other services rendered by City Cycling Club by reason of any agreement between myself and City Cycling Club, its Chairman, Committee, Treasurer, Secretary, Members, Organisers and agents, either directly or indirectly, intentionally or unintentionally, from Acts of God, fires, breakdown of machinery or machinery or equipment, cycling accidents and mishaps, accidental or otherwise, acts of Government or other authorities, wars, whether declared or undeclared, civil disturbances, terrorist activities, strikes, riots, thefts, pilferage, epidemics, quarantines, medical or customs regulations, defaults, delays, or cancellations or any other cause ejusdem generis
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