Membership is open to all athletes, coaches, friends or sponsors. Five-dollar due is good for one year. Membership entitles you to become a member of the USDCA and a subscriber of the Breakaway and eBreakaway newsletter. You will receive them as often when we have more information for the newsletter. The objectives of the publications will keep you members informed of how the athletes are getting along in their training programs & accomplishments, features of some riding techniques, results of competition around this nation and world, aspects of deaf cycling, cycling club activities and many more.
Please fill out and submit the form. Upon receipt of the due payment, we will validate your membership immediately. Please make a check of $5 payable to the USDCA by mail to:
Bobby Skedsmo, USDCA Secretary-Treasurer
247 Jack London Court
Pittsburg, California 94565-3661
Last Name:
First Name:
Address:
City:
State:
Zip:
Visual Phone Number:
E-mail Address: (Required to fill)
Please check your current membership
(a) Renewal
New
Renewal after several years
(b) Competition
Recreation
Coach
Sponsor
Friend
Organization
(c) Which of the following information fits you:
Stop Here
For those who are interested in race and/or be on the team, please fill the blanks below:
Are you a racing cyclist?
Yes
No
What bike type?
Mounatin
Road
Both
Male
Female
Weight:
Height:
Birthdate: e.g. 00-00-00
School:
College:
Occupation:
United States Cycling Federation:
Yes
No
Class:
Junior
Senior
Master
Category:
5
4
3
2
1
Cycling Club:
NORBA:
Yes
No
Cross Country Category:
Mountain Bike Club:
Please comment if any question about this application or others given below:
