Membership in the Bluegrass Cycling Club is open to all adults, 18 years or older. Children may become members through a family membership with their parents or guardian. First year membership is free. After the first year, yearly membership fee is $20 for a single and $30 for a family registration. Membership fees are due in January and membership expires on December 31. To become a BCC member, pick one of the two options below:

Option 1: You can complete the electronic application below.
Option 2: You can download the printable application in PDF format and mail us the registration. Mail-in membership application - right click on the link and select "Save as".

Application Type
Single Family

Personal Info
*First name: A value is required.
*Last name: A value is required.
*Address: A value is required.
*City: A value is required. *ZIP: A value is required.
*Phone: A value is required.Invalid format.
e.g. 859.555.5555
*Email A value is required.Invalid format.
*Password
*Re-enter Password

Family members who wish to be members of the club (spouse and dependents)
Family Member 1: Email:
Family Member 2: Email:
Family Member 3: Email:
Family Member 4: Email:

Emergency Contact
*First name: A value is required.
*Last name: A value is required.
*Phone: A value is required.Invalid format.
e.g. 859.555.5555

Interests

Agreement
I understand the the Bluegrass Cycling Club does not insure my personal safety or liability during any Bluegrass Cycling Club events or associated activity. I thus release them and agree to hold them harmless of any and all liability resulting from any participation. I agree to consent to permit emergency medical treatment as needed. I agree that I will be fully responsible for any minor (under age 18) whom I bring to or allow at a Bluegrass Cycling Club event. I also agree to wear a CPSC or SNELL approved helmet during all Bluegrass Cycling Club rides as per club policy.

Do you agree? Please make a selection. I have read and agree to the Bluegrass Cycling Club Agreement