New Membership: Personal Information


If you are currently a member and would like to renew your membership, you must log in first. If you don't have a password or you've forgotten it, you may click here and we'll send one to you. Please enter your information below only if you have never been a CRCA member.

Racing members are required to have a USA Cycling license. Because USA Cycling rules for club races require that you have the host club on your license, you must have Century Road Club Association on your license. USA Cycling will give you an option to add your sub-team to CRCA.

Required fields are indicated by "*".

Membership type*:


  • Donor membership includes club membership, dinosaur status (pre-paid race fees), a club jersey, and the Club will cover your marshalling dates.
  • Associates have no marshal duties and cannot race in club events.
  • Associates with Coaching may participate in coaching sessions if they provide a signed CRCA release and a photocopy of a valid USCF license. All other club privileges extend to Associates: monthly newsletter, discounts at some bicycle stores and voting for club officers.
  • Students must be full-time and under 25. Please send a copy of photocopy of student ID with your signed release.
Email*:
Password*:
Confirm password*:
 
First Name*:
 Last Name*:
Address*:


Country*:
 City*:

State*:

Zip*:
Home Phone*:
 Work Phone:
Mobile Phone:
 Fax:
 
Date of Birth*:
 Gender*:
Occupation*:
 
Emergency Contact Name*:

 Emergency Contact Phone*:
Emergency Contact Address*:
 
 I would like to be a dinosaur ($100.00 - all race entries prepaid).
 
 Please do not publish my email address or phone number on the CRCA web site.
 
I would like to make a tax-deductible gift to the Central Park Conservancy: $.
I would like to make a donation to CRCA to expand coaching and rider development: $.
I would like to make a donation to the CRCA Development Foundation to support junior racing: $.
 
Category 1, 2 and 3 riders will be assigned to the A field. Category 4 riders will be assigned to the B field. Category 5 riders will be assigned to the C field. Women riders will be assigned to the Women's field. For any changes, e-mail the VP of Rider Development at riderdevelopment@crca.net.
 
I have read and understand the club's marshaling policy and code of conduct, and check one off:
 I agree to this responsibility
 I do not agree with these responsibilities
 
I have read and understand the CRCA waiver, and check one off:
 I agree to this waiver
 I do not agree with this waiver
 
Have you ever been suspended by sporting agency?
 Yes
 No
 
(Note: All members must ride in a CRCA Club jersey or a CRCA sub-team jersey. CRCA club jerseys can be purchased on-line here: www.crca.net/membership/clothing/.)