Family Membership Form

2016 PRCA family membership is $60 and is designed for families of 3 or more (parents, and children under 18).

It includes:

  • IMBA Canada associate membership.
  • General liability insurance while participating in PRCA activities.

How to Apply

Option 1

Fill out the online form below and pay for the membership. A IMBA Waiver form must be submitted for the membership to be valid. You can mail or hand submit the IMBA waiver to the address below or scan and upload the signed waiver in the online form.  Note your insurance coverage is not valid until the IMBA form has been submitted.   Download the IMBA Waiver form here. 

6919 Hammond Street
Powell River, BC, V8A 1R3

Tel: 604-414-8310

Option 2

If you do not want to use the online form you can download out the application form here and the IMBA waiver form here and submit them in person or mail them.  Delivery and payment details are in the application form.

As a member of the Powell River Cycling Association it is expected that you will volunteer to help out with club activities throughout the year.

Family Membership Application Form

Fields marked with an * are required

Primary Member Information

One IMBA waiver form must be attached for each family member to the application form.  Get the IMBA waiver form here.

Family Members Information

Please fill out the below fields for each family member.  One IMBA Waiver form must be submitted for each family member.

Membership Dues $60.00

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