Capital Cycling Club

Member Login

CCC Memembership Form

If you are interested in joining the club please complete the form below and submit. Your submission will be reviewed by the board and you will be contacted about your application to join.

NOTE: You must read and agree to our code of conduct to join.
Download Code of Conduct

Membership fees are $30.00 per year.
Please make check payable to Capital Cycling Club and send to:
Darrin Dexter
133 Briarfield Drive
Apex, NC 27502

CCC Membership Form

First Name	*
Middle Name
Last Name	*
Gender	*
Email Address (Please provide a valid email address)	*
Street Adress 1	*
Street Adress 2
City	*
State	*
Zip	*
Home Phone	*
Work Phone
Cell Phone
USAC License
Year Of Birth	*
Racing Since
Road Category
Mountain Bike Class
Track Category
Randonneur
Trialthelete
Reason for Joining	*
Have you read and do you agree to the code of conduct?	*
	* required

CCC Brain Injury Association's Ride for the Rock - registration is open