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New Member Application
Please complete the below information to register and pay the $30 single or $40 family annual dues with a
credit card
.
We accept the following credit cards
Please only use this online application if paying with credit card.
Your membership is valid for 1 year. A renewal notice will go out 30 days prior to renewal.
DO NOT hit refresh or back during this process or you will have to start over.
If you are renewing please Login and then click the Renew Membership button.
First Name
Last Name
User Name
This is your login name.
Password
4 - 9 characters. Upper, lower, digits. No special characters.
Confirm Password
Email Address
Phone
Family Membership
Toggle to Yes, if this is a family membership. Family annual dues are $40.
Yes
First Name (Family Member)
Last Name (Family Member)
Email (Family Member)
Only needed if different from main member.
Additional Family Members (if applicable)
Please list first name only, unless different. Separate names with commas.
Street
# is not allowed in address field. Please use Apt or Unit instead.
City
State / Province
Country
United States
Canada
Zip
5 digit zip only.
Postal Code
Would you like your information (name, email, phone) listed in the online club directory? This will apply to primary and family member.
If you select No for name all other options will default to No.
Name
No
Yes
Email
No
Yes
Phone
No
Yes
Emergency Contact
Emergency Phone
What type of ride might you volunteer to lead?
A
B
C
D
S
T
ATB
What type(s) of bike do you ride?
Road
ATB
Hybrid
Tandem
Recumbent
Other
What road ride lengths (miles) do you prefer?
10-20
30-50
50-75
75+
Comments
Only letters and numbers allowed, No special characters like / or #.
Discount Code
Upper case letters and numbers only.
I understand that the Florida Freewheelers, Inc. are not insurers of my personal safety or liability during any Florida Freewheelers event or associated activity. I thus release them and agree to hold them harmless for any and all liability, including liability for negligence, resulting from my participation. I agree to consent to permit emergency medical treatment as needed. I also agree that I will be fully responsible for any minor (under age 18) whom I bring to or allow at a Florida Freewheelers event. I further agree to follow all applicable traffic laws, conduct my activities in a safe and prudent manner, and to wear an approved bicycle helmet and to not use headphones while riding.
By checking this box you have indicated you have read the Release Form and acknowledge that there are No Cancellations or refunds for membership. This will act as your signature and all family members if applicable.
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Home
Rides
Rides Calendar (members only)
Rides this Week (next 7 days)
Road Rides
Social Rides
ATB Rides
Ride Maps (members only)
Waiver Form (Non-Member)
Information
About the Club
Club News
Group Ride Training
Club Donations
Publicity / Other Rides
Florida's Bicycle Laws
Advocacy Links
Bicycle Site Links
Board Members (members only)
Join
Membership Information
New Membership Application
Membership Renewal (members only)
Membership List (members only)
Photos
Apparel
Apparel
Apparel Sizing
Forum
Help
Contact Us
Using This Website
FAQs