Summit Cycling Club

Summit Cycling Club Membership Application

Once you have read the Membership Application Requirements and feel you meet the Common Denominator Requirements, please complete our online form by selecting the link below (or select Petition for Membership Application in the above menu) to begin.

You may also download a PDF form: Summit Petition for Membership Application Rev2-13.pdf

If you would like more information, please contact Neal Grobman at (856) 985-1961 or email him at
Before you begin to enroll online, please read the following important disclaimer and terms of membership.  Your submitted application is your electronic signature agreeing to the terms below:

Summit Cycling Club Waiver and Release of Liability


In signing this release for myself or for named applicant if applicant is under the age of 18, I acknowledge that I understand the intent hereof, and hereby agree to absolve and hold harmless the Summit Cycling Club, Board Members and Club Members, Danzeisen and Quigley (D&Q) and any other present or future sponsors and their officers, members, and employees respectively, and any others connected with any club event in any way whatsoever, singularly and collectively from and against blame or liability for any injury, misadventure, harm, loss, inconvenience, or damage suffered or sustained as a result of participation in any and all Summit Cycling Club, Danzeisen and Quigley (D&Q) and any other present or future sponsored event, and that the Summit Cycling Club, Danzeisen and Quigley (D&Q) and any other present or future sponsors and their offices, members, and employees respectively and are not responsible for and are not insurers of my personal safety during events. I thus release them and I agree to save them harmless from any and all liability arising from my having sustained any property damage or personal injury by reason of their negligence in participating in sponsoring, planning, or arranging events.  I also hereby consent to and permit emergency medical treatment in the event of injury or illness.  I shall abide by traffic laws, regulations, practice safety, courtesy and safety in bicycling.  I, the undersigned acknowledge and agree the risk of injury from the activities involved in this program is significant including the potential for permanent paralysis and death and while particular skills, equipment and personal discipline may reduce this risk, the risk of serious injury does exist and I knowingly and freely assume all such risks both known or unknown even if arising from the negligence of the releasees or others, and I assume full responsibility for my participation.  I hereby freely assume all such risks both known and unknown even if arising from the negligence of the club members, board members or others, and assume full responsibility for my participation in the club rides/activities. I have read this release of liability and assumption of risk agreement, fully understanding its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

If you agree with the above, click on the link, Petition for Membership Application
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