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1907 Deptford Center Road Staples Shopping Center Deptford, NJ 08096 (856) 228-7800 www.pscycles.com Peddler’s Shop Cycling Club Membership Application 2015 The Peddler's Shop Cycling Club (PSCC) is dedicated to helping cyclists reach their physical goals while raising awareness and funds for those stricken with illness. This goal is accomplished through various charity rides and organized group rides across the tri state area. Our Mission Peddler’s Shop Cycling Club is an amateur bicycle club whose primary purpose is to promote participation in cycling activities for both active people and competitive athletes while helping them to achieve their physical goals. We support multisport participation and healthy lifestyles through group rides, training rides, events and other educational activities. Our primary emphasis is on each rider’s safety, while at the same time fostering friendships and camaraderie, celebrating individual and group accomplishments. The club is dedicated to making a positive impact on our community through raising awareness and funds for those stricken with illness by participating in and fund raising for charity bicycle events in the surrounding area. PSCC is committed to a compassionate and caring endeavor in our community and promoting awareness of environmental stewardship. Mandatory Helmet Policy: Peddlers Shop Cycling Club requires all club members to obey the mandatory helmet policy on any organized training rides or charity events. Rules of the Road: Peddler’s Shop Cycling Club members are required to follow traffic laws. Peddler’s Shop Cycling Club’s policies for safe group rides include any organized training ride. It is your responsibility to be aware of the policy regarding ride conduct, which includes but is not limited to: foul language, yellow line violations, erratic handling etc. If you are unsure please ask for instruction. Our main concern is safety and proper representation for our sponsors. Copyright of Peddler’s Shop Cycling Club: Unauthorized use of Peddler’s Shop Inc. or Peddler’s Shop Cycling Club or any of its sponsors name or images is not allowed. Please forward any requests to represent the Peddler’s Shop Inc by letter, fax, or e-mail to 1907 Deptford Center Road, Deptford, NJ 08096 856-228-7800 (phone), 856-228-0692 (fax) or info@pscycles.com. PSCC Primary fundraising rides for 2015: 1. ALS Express Ride May 30, 2015 10 to 75 mile courses. The ride supports those stricken with ALS. The ride ends at Morey’s Pier in Wildwood, NJ it is very well supported with well-stocked rest stops and great picnic lunch at the finish. Riders receive 2 free passes to Morey’s pier free to Morey’s Pier with their registration. 2. “The Ride” for The Gloucester County Special Services School District June 6, 2015 PSCC is proud to be sponsoring and coordinating this ride. We need volunteers, interested? Please email mailto:Shawn_Laundra@pscycles.com 3. American Cancer Society Bike-a-thon June 14th, 2015. Multiple distances ranging from 21 miles to 97.6 miles. The 97.6 mile and 65 mile routes leave from Philadelphia Pa to Buena Vista Camp/Park in Buena, NJ. 4. Library IV Sunshine Foundation Ride TBA – Early September from the Library IV in Williamstown NJ. 30 mile starting and ending at the Library IV, includes brunch. Great prep ride for the MS150. 5. MS 150 City To Shore October 3 & 4 2015 this two-day bike ride, named bicycling magazines “Best Cycling Getaway in NJ”, ranks as our biggest ride of the year. We continue our goal of 100 riders and to raise $100,000 for the Philadelphia Multiple Sclerosis Society to help the 11,000 local people living, and dealing with this devastating disease. In 2014 PSCC had 87 riders and raised over $55,000. Join the team we have training rides all spring and summer. Then complete the 150-mile challenge in September with the one of the fastest growing and best supported MS150 teams. Our squad ranges from new riders to seasoned racers so regardless of your level you will have teammates to share your experience. 2015 PSCC Membership $35.00 Membership entitles the member to the following: • 5% (five percent) discount on any new bicycle or frame - Your membership entitles you to 5% off the cost of any new bicycle. This includes all bicycles & frames purchased for PSCC members’ personal use. Excludes all special offers, closeout and sale items. • 10% (ten percent) general discount - Your membership entitles you to 10% off all other purchases at The Peddler's Shop. This discount will be taken at checkout and applies to all parts, accessories & clothing. Bicycles, frames, labor, special offers, closeout and sale items are excluded. • 20% (twenty percent) discount on all PSCC team apparel - Your membership entitles you to 20% off all PSCC team apparel. Our high quality Jersey's, shorts, tri wear, jackets, gloves, arm warmers and any other PSCC team item are included. • Discounted MS150 registration: Sign up early for best pricing - Your PSCC Membership entitles you to a discounted rate for your MS150 registration. Check the rate schedule below to see the savings. Sign up early for best pricing.MS 150 –PSCC Member – Registration Fee Schedule Non team members PSCC Team Members $35 through 1/20/15 $30 through 2/15/2015 $50 through 5/28/15 $40 through 5/28/2015 $65 through 8/27/15 $55 through 9/17/2015 $75 through 9/17/15 $100 through 10/3/15 • PSCC Team Jersey. Earn a $60 Peddler's Shop gift card with your Team jersey purchase - Provided. Current PSCC member in good standing. Currently registered for the 2015 MS150 City to Shore ride. Achieved a minimum $300 in fundraising. • Member only special offers - Your membership entitles you to limited special PSCC only purchase offers. PSCC members will be notified via email of the specials. Quantities are limited and will be offered on a first come first served basis. Team Dinner - Our end of year team dinner gives you a chance to mingle with your cycling friends while you help raise money for the club. While this dinner is open to the general public, seating is limited and PSCC members get preregistration rights as well as discounted entry. We Can’t Do This Without YOU!!!!!! Ride Leaders: We are looking for individuals interested in leading group rides. You would be responsible for leading a time, distance, route and location specific group ride every week. If you were not available on any given date you would be responsible for putting someone else in charge of the ride. Please let us know if you are interested. This is a great way to help new riders and show your leadership skills. Sponsorship: If you or someone you know may be interested in becoming an Official Peddler’s Shop Cycling Club Sponsor, please contact Shawn Laundra or Karen Dixon for details. Volunteer Information: The success of the Peddler’s Shop Cycling Club is directly related to the energetic and enthusiastic volunteers who help make sure that all of our rides and events go off without a hitch. We welcome volunteers with a wide range of talents and skills. There are many jobs to choose from. Please check any and all of the following positions that you would be willing to commit to. It will not take up very much of your time and would be greatly appreciated: Which of the following would you be interested in? Please check all that apply. Training Ride Leader Fund Raising Committee Events/Logistics Event Ride Leader Volunteer CLUB MEMBER’S RELEASE FORM In consideration of the acceptance of my application for membership on the Peddler’s Shop Cycling Club, I hereby freely agree to and make the following contractual representations and agreements. I also realize this release form is a contract with legal consequences and that I have read it before signing. I fully realize the dangers involved with bicycle riding and racing and fully assume the risks associated with such participation. These include and are not limited to: the dangers arising from equipment failure, the dangers of collision with pedestrians, vehicles, other riders, and fixed or moving objects, the dangers arising from surface damage, weather conditions, and the possibility of serious physical and/or mental trauma or injury associated with athletic cycling participation and competition. I hereby waive, release and discharge myself, my heirs, executors, administrators, legal representatives, assigns, and successors in interest in any and all rights and claims which I have or which may hereafter accrue to me against the Peddler’s Shop Inc, Pennoni, Mercadien, Berkshire Grill, Papa John’s, PJPL LLC, Comcast, Library IV, Lenny PT, Wine Works, Verge, BTB Security, Masterpiece Kitchens, Peddlers Shop, Peddler’s Shop Cycling Club and/or any of its previous or future sponsors (named or unnamed). I agree, for myself and successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my successors assert my claim in contravention of this agreement, I or my successors shall be liable for the expense (including legal fees) incurred by the other party or parties in defending such claim. This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of any other provision herein or as consent to any subsequent waiver or modification. Name: _______________________________ Date: __________________________ Signature: _________________________________ Address: ______________________________________________________________ _______________________________________________________________ Email: _____________________________ (REQUIRED) Cell #__________________________ Emergency contact info: Name: ________________________________ Contact Number: ___________________________ Parent or Guardian of a minor: I as a parent or guardian of the above named minor, herby give my permission for my child or ward to participate as a member of the Peddler’s Shop cycling club and further agree, individually and on the behalf of my child or ward, to the terms of the above. Signature of parent or guardian of minor___________________________________