to our PDF application.

RACING TEAM
We would be excited to have you as a member of the Alki Velo Club, proud home of the Hotwire Racing Team.
Our club began last fall as a group of avid cyclists who raced together in local cyclocross races. We could have
joined other established teams, but we wanted to start a brand new team, based out of West Seattle and
sponsored by local small businesses which we would be proud to support and rally around. Hence, we've
launched the Alki Velo Club / Hotwire Racing Team!
Our goal is to establish a club of dedicated cyclists where members would have the opportunity to meet and get
to know other riders in the area. We hope that having an established local club will also encourage camaraderie,
inspiration and recreation.
Nearly all of us live in West Seattle and enjoy so much what this part of our city has to offer. Our dedication to
our neighborhood includes a commitment to supporting our local businesses. We appreciate the importance of
local companies in fostering a vibrant community. With that in mind, we have invited a small group of local
businesses to join as sponsor-members. These include our title sponsor, Hotwire Coffee, as well as The Beer
Junction, Cycle University, Luna Park Café, Kinetic Physical Therapy and Eagle Home Mortgage. As a member
of the team, you will receive the benefit of discounts from some of these sponsors, and the knowledge that we
are supporting them on our “kit” both inside and outside of our community.
Alki Velo Club also appreciates the importance of local causes for our community. A portion of our team funds
will be dedicated to support charities such as the Major Taylor Project (a local, youth development cycling
program focused on introducing youth from diverse communities to the recreation of cycling).
We are a non-discriminating cycling club. We welcome anybody with a passion for riding and a desire to
increase the enjoyment of riding in our community. We plan to host regular gatherings and establish regular
group rides, beginning and ending at some of our favorite spots. As the team grows, a number of group rides
will be established, which will offer various distance and effort levels to choose from. As a member, you will
have access to our team kit for your use during your rides and races. Although our club has a dedicated racing
element, you are not required to be a racer in order to join.
For those who race, we will establish a tent at local cyclocross races in the fall as a gathering point and hangout
for our club. We will have tools, coffee and other goodies available throughout the day. We encourage you to
join us for one of the races (racing or watching) as these events are an absolute blast. We hope to expand our
race support to other disciplines of interest to members as well.
We hope that you will join up and let us know about your areas of interest!
-Pedro DeGuzman, President
3/25/2015 Alki Velo Club
(Hotwire Coffee Racing Team)
MEMBERSHIP APPLICATION
Circle one:
Renewal
New application
Name__________________________________________________
Male
Female
Address ______________________________________________________________________________
City __________________________________ State ________________ Zip code ____________________
Cell Phone _____________________________ Home Phone _____________________________________
E-Mail _________________________________ Birth date ______________________ (month/day/year)
USAC Race License # (if you have one, not required) _______________________________
Racing Categories
Please specify category and age group (e.g., Cat. 3 and masters 40+) and check your primary racing category
Road ________ Cyclocross _________ Track __________ Mountain __________ Recreational _________
You and the Alki Velo Club
Alki Velo Club (Hotwire Racing Team) is a West Seattle based cycling club. We are also sponsored by local businesses.
Team membership includes the following expectations:
•
Wearing the Team “kit” for training rides and races.
•
Supporting our local sponsors.
•
Participation in group rides, races or team functions (you don’t have to race to be a part!).
•
Obeying the rules of the road.
Sponsorship Deals currently include (subject to change):
•
$2.00 for 12oz lattes, Americanos and mochas at Hotwire Coffee.
•
Member discounts available from The Beer Junction, Cycle University, and Kinetic Physical Therapy!
•
Note: Discounts are for team members only.
Emergency Information
Person(s) to contact __________________________________________________________________
Relationship to you ___________________________________________________________________
Address ____________________________________________________________________________
Cell phone _____________________________ Home phone ___________________________________
Sponsorship Agreement:
I agree to keep details of team sponsorship deals confidential. I will be discrete about sponsorship discounts and will not
share with non-team members. I will not use team deals to buy gear for others unless instructed otherwise by team
management.
Membership Dues
Annual Membership Fee: $40 Total enclosed: ___________
Purchase of 1 club jersey (~$70 cost), purchased separately, details coming soon.
Please enclose check or money order to "Alki Velo Club" for your 2015 membership dues and send with your application
and completed Release (the last three pages of this packet) to: Alki Velo Club; c/o, Jon Rehkopf, Treasurer, 4429 SW 102nd
St, Seattle, WA 98146. email: [email protected]
Alki Velo Club Membership Application CURRENT ALKI VELO CLUB SPONSORSHIP DEALS FOR MEMBERS, March 25, 2015 •
$2.00 for 12oz lattes, Americano’s and mochas at Hotwire Coffee. Members will be issued a
coffee card for purchases. Showing Hotwire apparel if even more appreciated.
•
10% discount off purchases at The Beer Junction (show club apparel with Beer Junction on it).
•
Discount for services are available at Kinetic Physical Therapy.
•
20% discount on all items, service, classes, coaching, spin classes and special orders at Cycle
University (excluding on-sale items, other promotions). Members will be entered into their database
under Alki Velo Club. Discount shall apply to individual purchases; no discount to non
members. Members will also have special one-time Team Only deeper sales from October - April on a
variety of items from: Specialized, Garmin, Stages, Hammer Nutrition, and other main vendors.
This is a significant discount for our new team. What team members must do to take part in 20% store
discount and Team Deals orders:
¾
¾
¾
"Like" the Cycle U Facebook page: https://www.facebook.com/CycleU.
"Check in" from the Cycle U store on Facebook
Write a review on Google + or Yelp or ideally both, here is a sample (for individual edit):
Example "Cycle U is a great local bike shop and coaching facility. They know their stuff and don't
just sell product, but know how to teach people the right way to use it. The indoor cycling classes
really get you ready for any event and the outdoor classes and boot camps not only teach you the
skills of correct riding, but let you learn from some of the best racers in the region. Great mechanics
and gear, check em out."
What Cycle U asks of sponsored riders:
¾
¾
¾
Consider volunteering to helping at a Cycle U event or leading a training ride for 4 hours per year
commitment. This is a chance to help support the shop, as well as supporting and encouraging other
riders.
Refer friends and family to Cycle U when possible, this is what helps Cycle U the most!
Be courteous on the roads and be a good ambassador for Cycle U and the community
•
Discounts are for team members only.
•
Discounts are subject to change.
ALKI VELO CLUB COMMUNICATION AND SOCIAL MEDIA •
Whether ready to join or just interested, please email us at [email protected] to get on
our email list and learn about upcoming rides and events.
•
Check out our website! www.alkiveloclub.org
•
You can check us out on Twitter at @alkiveloclub (it’s super easy!)
Alki Velo Club Membership Application OUR CURRENT JERSEY DESIGN
Alki Velo Club Membership Application RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY, AND
PARENTAL CONSENT AGREEMENT (“Release”) for
ALKI VELO CLUB (the “Club”)
and
LEAGUE OF AMERICAN WHEELMAN D/B/A LEAGUE OF AMERICAN BICYCLISTS (“LAB”)
WARNING: BICYCLE RIDING AND RACING ACTIVITIES COULD CAUSE SERIOUS INJURY OR
EVEN DEATH. YOU MUST READ AND FULLY UNDERSTAND EACH PROVISION OF THIS
RELEASE AND SO INDICATE BY INITIALING EACH PROVISION IN THE SPACE PROVIDED
AFTER EACH PROVISION.
IN CONSIDERATION of being permitted to participate in any way in Club sponsored bicycling
activities (each, an “Activity”, together, the “Activities”) I, _____________________________ (“I”,
“me”, “my” or “myself”) for myself, my personal representatives, assigns, heirs, and next of kin:
1.
ACKNOWLEDGE, agree, and represent that I understand the
nature of the Activities and that I am qualified, in good health, and in
proper physical condition to participate in such Activities. I further
acknowledge that the Activities will be conducted over public roads
and facilities open to the public during the Activities and upon which
the hazards of traveling are to be expected. I further agree and warrant
that if, at any time, I believe conditions to be unsafe, I will immediately
discontinue further participation in the Activity.
I
have
read
and
understand Paragraph 1,
and acknowledge my
understanding by initialing
in the space provided
below:
____________
2.
FULLY UNDERSTAND that (a) the Activities involve risks and
dangers of serious bodily injury, including, but not limited to,
permanent disability, paralysis, and death (“Risks”); (b) these Risks
and dangers may be caused by my own actions or inactions, the
actions or inactions of others participating in any particular Activity, the
conditions under which the Activity takes place, or negligence of the
“Releasees” as defined below; (c) there may be other risks and social
and economic losses, either not known to me or not readily
foreseeable at this time, and I fully accept and assume all such Risks
and all responsibility for loss, costs, and damages I may incur as a
result of my participation in any Activity.
I
have
read
and
understand Paragraph 2,
and acknowledge my
understanding by initialing
in the space provided
below:
____________
3.
HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO
SUE the Club, LAB, their respective administrators, directors, agents,
officers, members, volunteers, and employees, other participants, any
sponsors, advertisers, and, if applicable, owners and lessors of
premises on which the Activity takes place, (each, a “Releasee”,
together, the “Releasees”) from all liability, claims, demands, losses, or
damages on my account caused or alleged to be caused in whole or in
part by the negligence of the Releasees or otherwise, including
negligent rescue operations. And, I further agree that if, despite this
Release I, or anyone on my behalf, makes a claim against any of the
Releasees, I will indemnify, save, and hold harmless each of the
Releasees from any litigation expenses, attorney fees, loss, liability,
damage, or cost which any may incur as the result of such claim.
I
have
read
and
understand Paragraph 3,
and acknowledge my
understanding by initialing
in the space provided
below:
____________
Alki Velo Club Release, Waiver, and Assumption of Risk Page 1 I AM 18 YEARS OF AGE OR OLDER, HAVE READ AND UNDERSTAND THE TERMS OF THIS
RELEASE, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS BY SIGNING THIS
RELEASE, HAVE SIGNED IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR
ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL
RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I AGREE THAT
IF ANY PORTION OF THIS RELEASE IS HELD TO BE INVALID, THE BALANCE,
NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
I hereby certify that I have read and this Waiver and Release of Liability. By signing this Release I
you hereby agree to be bound by its terms.
PARTICIPANT'S NAME (PRINTED): ______________________________________
PARTICIPANT'S SIGNATURE (only if age 18 or over): ________________________
ADDRESS:
(Street)
__________________________________________________________
(City)
(State) (Zip)
PHONE: (___) ____________
DATE: __________
MINOR RELEASE
(must be completed for Participants Under the Age of 18)
AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF
BICYCLING ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE
THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION
TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO
SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE
RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE
MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE
NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE
OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR
ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES
NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE
RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY,
DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.
I hereby certify that I have read and this Waiver and Release of Liability. By signing this Release, I
hereby agree to be bound by its terms.
Alki Velo Club Release, Waiver and Assumption of Risk Page 2 MINOR'S NAME (PRINTED): __________________________________________________
BIRTH DATE OF MINOR:_____________
SIGNATURE OF MINOR PARTICIPANT: _________________________________________
PARENT/GUARDIAN NAME (PRINTED): ________________________________________
PARENT/GUARDIAN SIGNATURE: _____________________________________________
ADDRESS:
________________________________________________________________
(Street)
(City)
(State) (Zip)
PHONE: (___) __________
DATE: ___________________
Alki Velo Club Release, Waiver and Assumption of Risk Page 3