American Airlines Bicycle Club

AARBC Membership Application

(Annual Dues $5)

 

Last Name ____________________ First Name _______________ M ___________

Home Address _______________________________________________________

City _________________________ State _____ Zip ________

Hm. phone #_______________Wk. phone # ______________Cell #_____________

Email address for ride info ______________________________________________

Emergency contact name & number_______________________________________

 

I am an AA employee [  ]  an AA retiree [  ]  a relative [  ]  a friend [  ]

 

If you checked relative or friend who is the AA person you know? __________________

 

--  Employees please fill out the next two lines.  --

 

TUL   Mail Drop __________  AA Building location ___________________________

Job Title ____________________ Employee Number ________________________

 

The American Airlines Running and Bicycle Club, (AARBC) its members and officers cannot be
held responsible or liable for any accidents that occur during or as a result of our activities. I
hereby understand participants ride at their own risk and should consult a medical professional
before starting in what may be strenuous exercise.  I, the undersigned, intending to be legally
bound, do hereby, for myself, my heirs, my executors, administrators and assignees, waive,
release, and forever discharge American Airlines, the AARBC, its officers and members and
sponsors of the club, for all rights and claims of damage or loss, demands and actions what-
soever in any manner arising or association with my participation in AARBC sponsored events.
For the safety of participants, the AARBC requires that ANSI or SNELL approved helmets be worn
during all AARBC rides.  It is the responsibility of each member and guest to follow this rule as well
as all applicable traffic laws.

 
Signature: __________________________________________ Date: ___/____/____

 

 

Parent or legal Guardian: _______________________________ Date: ___/ ___/ ____

If participant is under the age of 18 parent or legal guardian signature is required:

 

Please return signed form/ fee to AARBC Treasurer Phillip Christian at American Airlines.

To: Phillip Christian, Mail drop 506 TULE.