Join Club

Email Address
*
Full Name
*
Address
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number
*
Emergency Contact Name
*
Emergency Contact Number
*
Waiver and Release of Liability
*

Yes, I agree to the terms of the MTEI Waiver and Release of Liability document
Please click on the checkbox to continue
*

Major Taylor Elite Indy Cycling Club Membership Application Form

Fill in all required fields below.
Click 'Questionnaire' when done - there you will answer several important questions!
Complete and submit questionnaire.
REPEAT STEPS 1, 2, AND 3 FOR EACH PERSON JOINING.
When done, click Apply at bottom of form!

Once your membership request has been approved, you will receive a notification via email that you have been accepted and what your annual membership dues are.