Club Membership Registration Form

Name*

First NameMiddle NameLast Name

E-mail*

Phone Number:*

Area CodePhone Number

Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Birth Date:

MonthDayYear

Do you embrace the Strongbacks Mission?*

YesNo

Are you comfortable riding in groups of 5 or more?*

YesNo

Are you comfortable engaging in fundraising activities?*

YesNo

What is your riding experience level?

Less than a year1 - 3 years4 - 9 years10+ years

How often do you want to participate in organized group rides?

Only once per year1 - 3 times per yearmore than 3 times a yearI'm Die Hard, everytime there is a ride

What Membership Level are you applying for?*

Day RiderWeekend WarriorLong Hauler

Are you willing to submit to a criminal background check?*

YesNo

How many Strongbacks rides have you participated in?*

What are you riding?*

Make, Model, Year, Size, Style

What's the longest ride you've done?*

Round Trip in Miles

What kind of community service activities are you interested in? Who do you want to help?

Describe something you're passionate about*

Don't over think it - Pizza is a passion, music is a passion, whatever you care about...

What do you expect from Strongbacks?

Why do you want to be a Strongbacks member?

STRONGBACKS LONG DISTANCE RIDING CLUB

CLUB CHARTER

I

Overview:

We are the Strongbacks Long Distance Riding Club. We are a group of motorcycle enthusiasts devoted

to the betterment of the men, women and children of our community. We embrace progressive ideology

pursuant with Socratic ethics as defined in the following Code of Conduct. All riding members of the

Strongbacks Long Distance Rides are responsible for upholding this Code of Conduct as well as holding

our fellow riders to the same standard.

II

Good Samaritans:

Members of the Strongbacks LDRC are kind, mindful and giving. Strongbacks embrace the opportunity

to give back in both grand and trivial gestures of selflessness. When the public recognizes our patch, it is

synonymous with hope. This is possible only as it is demonstrated by our actions.

III

Mentors:

Members of the Strongbacks LDRC seek opportunities to encourage those who are junior to us to

embrace new knowledge. We are also eager to embrace new ideas from those who are junior to us.

Together we guide each other to a future of productivity and prosperity.

IV

Expectations:

Members of the Strongbacks LDRC are expected to participate in community service activities on a

regular basis. The club recognizes that members have varied resources. Members have the option to

fulfill their commitment in one of three ways.

~ 40 hours of community service completed annually

~ 20 hours of community service completed and a donation to the Strongbacks Charity of $200.00

annually

~ 0 hours of community service and a donation to the Strongbacks Charity of $500.00 annually

V

Fundraising Commitments:

The Strongbacks LDRC is a charity organization. We raise funds so that we may award scholarship

support to young people of single parent households who seek formal training in the trades. The

Strongbacks LDRC hosts multiple charity rides in which members are expected to participate. There are

three different types of rides: Day Rides, Weekend Rides, and “Long Hauls”. A day ride will not exceed 8

hours round-trip and are scheduled to occur every other month. Weekend Rides will vary in ride time and

typically result in camping over-night; Weekend Rides will occur three times per season. Long Hauls can

last up to seven days and occur once per year. Fund raising goals vary on ride distance, volume and

frequency. Any member participating in a fundraising goal is expected to meet their fundraising

commitment barring extenuating circumstances.

VI

Committees:

Members are encouraged to participate in committees in 12 month terms. Committees include three

planning committees, one relationship committee, one perks committee.

VII

Planning Committees:

In tandem with the co-founders, each planning committee will help organize, facilitate, and advertise

fundraising rides. Each fundraising ride type will have its own planning committee.

VIII

Relationship Committee:

In tandem with the co-founders, the relationship committee will help foster and develop relationships with

local charities to whom our members will devote their personal time as volunteers.

IX

Perks Committee:

In tandem with the co-founders and the relationship committee, the perks committee will foster

relationships with private enterprises. These relationships are intended to solicit support of our members

and our mission.

X

Tolerance of Scum-baggery, Son-of- a-Bitchery, and Overall Criminality:
There Will Be None.

I have read, understood, and accepted the rules for membership as outlined in the Strongbacks Charter.

Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!

Club Membership Application

Membership Rules