Street Address Line 2
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Emergency Contact Name
We occasionally email our members about club events or other items of interest. Your email will not be distributed to third parties. Can we add your email to our distribution list?
We occasionally take photographs. Can we use photographs of you on social media and our website?
Please indicate the membership amount you will be paying. Annual membership is May 1 to April 30 and cannot be prorated or refunded. Payment must be received by e-transfer to email@example.com for your membership to be activated.
$40, including a $5 donation to the South Island Mountain Bike Society (SIMBS)
$35, which does not include the donation
COVID-19 Member Agreement
All members of the Dirty Girlz Bike Club agree to abide by the following points before, during and after participating in club rides (if you do not agree with all of the following points, you will not be permitted to join a club ride):
I confirm that I have read and understand the club’s COVID-19 Illness Policy and COVID-19 Safety Plan & Guidelines. The forms are on the Dirty Girlz Website, COVID-19 page.
I confirm that I have not travelled outside of British Columbia within the past 14 days.
I agree to stay home if I don’t feel well and remain home for 14 days if experiencing COVID-19 symptoms.
I confirm that I do not live in a household or participate in a bubble with someone who has COVID-19 or is showing symptoms of COVID-19.
I agree to spend as little time as possible in the ride meeting place, both before and after rides.
I agree to verbal COVID-19 symptom checks by the host prior to each ride.
I agree to follow the physical distancing safety rules as they pertain to riding on the trails.
I am aware that my name and contact information will be provided to healthcare officials for the purpose of contact tracing if I or someone connected to a club ride I participated in contract COVID-19.
I agree to bring personal protective equipment (face mask, disposable gloves), hand sanitizer and a bike repair tool kit with me on each ride, in addition to the other usual required items listed on the Dirty Girlz website and I understand that I will not be permitted to join the ride if I do not have all these items with me.
I agree to wash or sanitize my hands before, during and after rides as needed.
I agree to not share any equipment during rides.
I agree to not take any unnecessary risks; this is not the time to have an accident and expose anyone riding with me.
I agree that I will make any necessary repairs to my bike during rides, understand that no one is obligated to make them for me, and will walk back to the ride starting point if I cannot make the repairs myself.
I agree that if I am injured, other ride participants are under no obligation to help me. However, if I experience a serious injury, 9-1-1 will be called.
I agree to abide by all of the club’s COVID-19 Policies, Plans and Guidelines
I understand that if I do not abide by the aforementioned policies/plans/guidelines I may be asked to leave the ride and/or club for up to 14 days to help protect myself and others around me.
I acknowledge that there are risks associated with participating in club rides, and that the measures taken by the club and other members, including those set out above and under the COVID-19 Response Plan and Return to Sport Protocols, will not entirely eliminate those risks.
I agree to inform the host/club immediately if I experience any symptoms of COVID-19 (fever, cough, sore throat, runny nose, headache, or shortness of breath).
IMBA Canada Release Agreement
I, the Participant, understand and agree with this Release Agreement
I understand and agree with this Release Agreement on behalf of the minor child Participant named in the Membership Form for whom I am the parent or legal guardian.
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