Wheeling Wheelmen
Membership and Mailing Information
  • Memberships expire annually in March.
  • Memberships created after September 1st are valid through the following year.
  • We have two options for Membership Registration
    1. Option 1 - On-Line Registration
    2. Option 2 - Paper Registration
    Please select below

Option 1 - On-Line Registration


Fields marked with an * are required

Membership Options

Membership Type*

Current Membership Number

Membership Option*

Gender*

Primary Contact Information

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip Code*

Phone Number*

Email Address*

Family Member 2

Name*

Phone Number

Email Address*

Accept Waiver Below*

Family Member 3

Name

Phone Number

Email Address

Accept Waiver Below

Family Member 4

Name

Phone Number

Email Address

Accept Waiver Below

Family Member 5

Name

Phone Number

Email Address

Accept Waiver Below

Membership Agreement

All applicants must read and accept the waiver below.

While bicycling is an outstanding recreational sport, it also involves risks. Some of these risks include but are not limited to: traveling on or crossing heavily traveled roads, winding roads, steep descents, potholes, accident, unexpected moves of another rider, physical exertion fatigue, flat tires and motorists. The undersigned acknowledges that the risk inherent in recreational bicycling and the undersigned agrees to assume all risks associated with participation in Wheeling Wheelmen activities. I acknowledge that the Wheeling Wheelmen encourages the wearing of helmets and agree to save and hold the Wheeling Wheelmen harmless for any injury resulting from my failure to wear a helmet. The undersigned freely and voluntarily accepts all risks of injury, death, or property damage. The undersigned agrees to save and hold harmless the Wheeling Wheelmen, its officers, members, coordinators, employees, volunteers, agents and/or other ride attendees from any and all liability for any injury or damage resulting from, or in any way connected with, participation in the Wheeling Wheelmen events. The undersigned further agrees to release and waive all claims for negligence against the Wheeling Wheelmen, its officers and members for all damages incurred at or associated with any Wheeling Wheelmen activity for myself, my heirs and executors. I hereby agree to operate my bicycle in a manner that is safe to me and those around me, to observe all the rules of the road, and conduct myself in a manner that will be complementary to the sport. I hereby consent to and permit any emergency treatment in the event of injury or illness.

 IWe have read and understand this waiver. I agree to be legally bound by it.

Option 2 - Paper Registration


Membership Form

If you do not want to register on-line, then download the membership form by clicking here.

Complete the form and mail it with payment (make the check out to 'Wheeling Wheelmen') to:

Wheeling Wheelmen
P. O. Box 7304
Buffalo Grove, IL 60089-7304