Application to Join the Great Lakes
Riding Club
Print and complete and mail to:
Great Lakes Riding Club, 17388 Leafdale Ct., Macomb,
MI. 48044
Name:__________________________________________
Rider______ Passenger______
Address___________________________________________________________________
City_______________________
Zip__________
Phone_____________________
Cell Phone___________________
Email__________________________________________________
Person to notify in
case of emergency (Contact Name and Phone No.)
_________________________________________________________________________
Make/Model of bike
_____________________________________________
Do you have a Valid
License________ Cycle Endorsement______ Insurance______
Years of riding
experience _________
Do you have any
medical conditions? _________________________________________
Have you ever been a
member of any other clubs or chapters? (Please list)
_________________________________________________________________________
Have you held any
positions in other clubs, if yes then what?_____________________
How did you hear
about us?_________________________________________________
What are your
expectations from joining this riding club? _______________________
_________________________________________________________________________
***All information
will not be shared or made public knowledge or discussed amongst members with
the exception of the President, Vice President and Chapter Secretary in
accordance with HIPPA laws.
I have Read the
Constitution and By Laws and agree to not hold The Great Lakes Chapter Riding
Club liable under any circumstances.
__________________________________ _______________
Sign
Date