NCC Family Membership

Terms:

$55 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Gender:* Gender is Required

Date of birth:* Date of birth is Required

Phone:* Phone is Required

Email - Enter the e-mail address you wish to receive Club Communications:* Email - Enter the e-mail address you wish to receive Club Communications is Required

Emergency Contact Name:* Emergency Contact Name is Required

Emergency contact phone:* Emergency contact phone is Required

Your Electronic Signature - enter your initials
By entering your initials here electronically (our lawyers make us do this), you agree to not blame us if you or someone else does something stupid at a club event or ride, and allow us to use your photo or voice in marketing materials:* Your Electronic Signature - enter your initials
By entering your initials here electronically (our lawyers make us do this), you agree to not blame us if you or someone else does something stupid at a club event or ride, and allow us to use your photo or voice in marketing materials is Required

OK to share your e-mail with sponsors?
We occasionally share (only) your e-mail address and name with our sponsors so they can provide you discounts. If you do not want to be eligible for discounts, please choose no.:* OK to share your e-mail with sponsors?
We occasionally share (only) your e-mail address and name with our sponsors so they can provide you discounts. If you do not want to be eligible for discounts, please choose no. is Required

Referral
Who referred you? How did you hear about us? Please tell us so we can give them kudos!: Referral
Who referred you? How did you hear about us? Please tell us so we can give them kudos! is not valid

Riding Interests (check all that apply): Riding Interests (check all that apply) is not valid

Are You Interested in Volunteering? (check all that apply)
We may contact you to help us! Volunteering is what makes NCC run!: Are You Interested in Volunteering? (check all that apply)
We may contact you to help us! Volunteering is what makes NCC run! is not valid