Cycling Team/Club

Membership Information
2010
 Skullcandy
Membership Invitation

Here is your official invitation to join the 2010 Skullcandy Cycling team/club. 2009 was our
inaugural year and it was a great success. Our membership numbers far surpassed our expec-
tations. We had participants in all levels of cycling from beginning weekend warriors to ama-
teur racers. We participated in all facets of cycling and fitness events including mountain bike
racing, cyclocross, road racing and triathlons. In addition to Skullcandy, we had many great
sponsors, including: JSA Architects, Brothers Bikes (Heber UT), Revolution Bikes (Sandy,
UT), Stowell and Crayk, PLLC, Financial Strategies Institute, and Black Bottoms. We would
like to thank all of our past sponsors as they were vital partners in our initial success. We
anticipate continued growth in 2010 and would like you to be part of the club.

We are excited to have Skullcandy return as our title sponsor for the upcoming 2010 cycling
calendar and JSA will return as our presenting sponsor. Below is our current list of commit-
ted sponsors (list may change at anytime without notice):

2010 Committed Sponsors Proposed discount to club members

•• Skull Candy – Title Sponsor 50% Product Discount Web Only
•• JSA Architects – Presenting Sponsor Service Discount
•• Revolution Cycles – Sandy UT 15% Product/Bike/Service Discount
•• Brothers Bike Shop – Heber UT 20% Product/Bike/Service Discount
•• Stowell and Crayk
•• Peak Fitness 30% Service Discount
•• Physical Therapy and Sports Medicine Service Discount
•• Agel Product Discount
•• KUAT Racks 50% Product Discount
•• Winder Dairy 20% Product Discount
•• Entech Service/Product Discount
•• Rudy Project Product Discount Web Only
*Service and Product Discounts subject to change without notice

2010 Full Team/Club Membership = $125

What you get:
w Kit (jersey & bibs or shorts) w Water bottle w T-shirt
w Skullcandy headphones (limited supply, will be distributed in order of registrations received)
w Socks w Cinch sack w Sponsor discounts
* Additional Offerings Available for additional fees (see attached order form).
* Any 2010 club/team member, registered with UCA and/or USA Cycling as a member of “Team Skull
Candy/JSA Architects,” who rides in a combination of 10 UCA (or equal) road races, cyclocross races
and/or mountain bike races will get reimbursed the $125 club/team fee. Each qualifying race must occur
during the 2010 cycling season. Weekday Crit and MTB Series Races count as 1/2 a race.

2010 Limited Team/Club Membership = $25

What you get:
w T-shirt w Water bottle w Socks w Sponsor discounts
* Additional Offerings Available for additional fees (see attached order form).
* “Limited Membership” does not qualify for racing reimbursement.

Check out the team web site: http://skullcandyracing.blogspot.com

Sign Up Today - complete the attached membership application, liability release and order form.
Date:
2010.01.13
 Skullcandy
Club/Team Application

SKULL CANDY presented by JSA architects

2010 Cycling Team and Club Application

Print out and mail to:

Salt City Cycling, LLC
8949 S. 250 E.
Sandy UT 84070

Name: _________________________________________DOB: _____/_____/_____

Street: _____________________________________Age as of 12/31/10: ________
City: _______________________ State: ________ Zip: ______________________
Home Phone: (____)_____-______ Work Phone: (____)_____-__________
E-mail address(es): _____________________________________________________
In Case of Emergency Contact: ____________________Phone: (____)_____-______
Applicants under 18 years of age please complete the following information:
Parent or Guardian’s Name: ______________________________________________
Address if different from above:
Street: _______________________________________________________________
City: _________________________________State: ________ Zip: ____________

CYCLING INFORMATION
Years Riding: ________________________ Years Racing: __________________
Disciplines (check any that apply):
Road Biking: ___ Mountain Biking: ___ Cyclocross: ___ Recreational: ___
USCF License #: ___________________Category: ______
NORBA License #: _________________Category: ______

To give us an idea of how the team can best serve your needs, please briefly outline
your cycling experience to date and your cycling goals:

Date:
2010.01.13
 Waiver & Release
of Liability

WAIVER AND RELEASE OF LIABILITY -- READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the SKULL CANDY/JSAArchitects cy-
cling team/club program, its related events and activities, I _____________________, the undersigned,
acknowledge, appreciate, and agree that:

1. 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 disci-
pline may reduce this risk, the risk of serious injury does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,
EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full
responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for partici-
pation. If, however, I observe any unusual significant hazard during my presence or participation, I will
remove myself from participation and bring such to the attention of the Company immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin,
HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE SKULL CANDY/JSA architects
cycling team/club and SALT CITY CYCLING, their officers, officials, agents and/or employees, other
participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of prem-
ises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABIL-
ITY, DEATH, or loss or damage to person or property associated with my presence or participation,
WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the
fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,

FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY IN-
DUCEMENT.

x____________________________________ Age: __________Date Signed: ____________________

PARTICIPANT’S SIGNATURE

________________________________
Print Name

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and
agree to his/her release as provided above of all the Releasees, and, for myself, my child and our heirs,
assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any
and all liabilities incident to my minor child’s involvement or participation in these programs as pro-
vided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest
extent permitted by law.

x________________________________________________ Date Signed: ____________________

PARENT/GUARDIAN’S SIGNATURE

________________________________
Date: Print Name
2010.01.13
 Skullcandy
Standard Kit

Notice: small changes to kit design may occur without notice.

Date:
2010.01.13
 Skullcandy
Women’s Pink Kit

Notice: small changes to kit design may occur without notice.

Date:
2010.01.13
 Price List and Order Form

PRICE LIST & ORDER FORM Skull Candy Custom 2010

updated 01/14/2010

TEAM / CLUB NAME: Skull Candy presented By JSA Architects

Team / CLUB Member Name::
BILL-TO ADDRESS: SHIP-TO ADDRESS:
CITY, STATE, ZIP: CITY, STATE, ZIP:
PHONE:
FAX:
E-MAIL:
PRIMARY CONTACT:

Yes
Full 2010 Membership? From Group A: select t-shirt size, sock size, one jersey option and one bib or short option.
Limited 2010 Membership? From Group A: select t-shirt size and sock size.

GROUP A - Kit included with team/club registration

Item 2XS XS S M L XL 2XL 3XL TTL QTY PRICE TTL PRICE
Club cut short sleeve jersey NA
Race cut short sleeve jersey NA
Cycling Shorts NA
Bib Shorts NA
Women's cut short sleeve jersey - green NA
Women's cut Shorts - green NA
Women's cut short sleeve jersey - pink NA
Women's cut Shorts - pink NA
Socks NA
T-Shirt NA
$125.00
GROUP B - extra clothing items*
(Indicate # of each and total #)
Item XS S M L XL 2XL 3XL TTL QTY PRICE TTL PRICE
Club cut short sleeve jersey $55.00
Race cut short sleeve jersey $55.00
Cycling Shorts $58.00
Bib Shorts $60.00
Women's cut short sleeve jersey - green $55.00
Women's cut Shorts - green $58.00
Women's cut short sleeve jersey - pink $55.00
Women's cut Shorts - pink $58.00
Convertible jacket/vest $80.00
Triathlon Kit $80.00
Long sleeve jersey $70.00
Arm Warmers $20.00
Knee Warmers $20.00
Socks $8.00
T-Shirt $12.00
Technical T-shirt $20.00
Hoodie $20.00
Water Bottle $6.00
Mussette Bag $12.00
Cycling Cap $12.00

* If minimum quantities for extra clothing items are not met, we reserve the right to cancel the item with a full refund.
Total Due A + B

Please make check payable to: Salt City Cycling, LLC

Mail To: Salt City Cycling
8949 S. 250 E.
Sandy UT 84070
(Be sure to include your membership form and release waiver)
Date:
2010.01.14