Page 1 of 3

New Membership Nomad Only!

Full Name(*)
Please type your full name.

Please enter Address

Please enter your city

Invalid Input

State or Province
Invalid Input

Non-US Province
Invalid Input

Zip Code(*)
Enter your zipcode

Birthdate (mm/dd/yyyy)(*)
Enter your birthdate

Main Phone to contact you(*)
Invalid Input

Home Phone (123-123-1234)
Enter a Number or NA if you only have a Cell phone

Mobile Phone 123-123-1234
Enter a cell # or NA, if you don't have one.

Email Address(*)
Enter a valid email address

Please enter a username

Password (At least 6 characters)(*)
Invalid Input

Password Confirm (Must Match)(*)
Password must match

Receive Diva Angels Email(*)
Invalid Input

Newsletter List(*)

Invalid Input

Select the newsletter lists that you want to receive email about.

I would like to share my email address with other members of the Diva Angels (your email address is required).(*)
Invalid Input

Are you a motorcyle rider with a valid endorsement? (Required in Florida)(*)
Make a selection

What do you ride?
Invalid Input

How long have you been riding?
Invalid Input

Have you completed a rider safety course?
Invalid Input

If so, where? (city+state)
Invalid Input

If Yes What Year was the course completed?
Invalid Input

How did you hear about us?
Invalid Input

If a member, please tell us their name?
Invalid Input

Do you have a friend you’d like us to contact?
Invalid Input

Friend’s Name
Invalid Input

Friend’s Phone
Invalid Input

What local chapter will you join?
Invalid Input

You must be 18 years of age or older to join.



I acknowledge and agree to accept the following by applying for membership and understand that if I choose not to accept the following I should not apply for membership in Diva Angels, Inc., a Florida not for profit corporation or its chartered chapters and their respective members, directors, employees and/or agents:

a I acknowledge that participation in this organization and any of its events is a voluntary act, which is recreational and naturally includes a degree of risk to personal safety and property; I voluntarily accept that risk and assume its consequences.

b In consideration for being permitted to apply for membership and/or for becoming a member of Diva Angels, Inc. I, for myself, my spouse, my children, my legal representatives, heirs and assigns hereby and for all purposes agree with Diva Angels, Inc. as follows:

i) That Diva Angels, Inc. shall not be liable for and I hereby release, discharge and acquit Diva Angels, Inc., for any and all claims for loss, damage or injury of any nature whatsoever to person or property resulting in anyway from or in any fashion arising from, connected with or participating in membership with Diva Angels, Inc. and their events, whether caused, in whole or in part, by negligent acts, simple or gross, of Diva Angels, Inc., its chartered chapters and their respective agents, members, officials, directors, servants, motorcycle owners, drivers sponsors, advertisers, employees or otherwise ("Released Parties").

ii) That I shall indemnify Released Parties from any loss, liability, damage, or costs that Released Parties may incur due to my actions, participation, or presence during my membership with Diva Angels, Inc. or their chartered chapters and the events put on by Diva Angels, Inc. and/or its chartered events.

iii) That I assume full responsibility for the risk of bodily injury and/or death and;/or property damage due to the negligence, simple or gross, of Released Parties or others while participating in Diva Angels, Inc. or its chartered chapters events.

iv) That I HEREBY RELEASE WAIVE, DISCARGE AND COVENANT NOT TO SUE, Released Parties, from all liability to the undersigned, his/her personal representatives, assigns, heirs and next of kin for all loss or damage, and any claim or demands therefore, on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence, gross or simple, or Released Parties or otherwise while the undersigned is a Member of Diva Angels, Inc. or its chartered chapters.

v) That I HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence, simple or gross, of Released Parties or otherwise while participating as a member of Diva Angels, Inc. or while competing, officiating in, observing, working or for any purpose participating in event's hosted by Diva Angels, Inc. or its chartered chapters.

c Your membership in Diva Angels, Inc. does not in any way include or guarantee to you any insurance coverage of any kind.

d THE APPLICANT expressly acknowledges and agrees that the activities inherent with membership in Diva Angels, Inc. are very dangerous and involve the risk of serious injury and/or death and/or property damage. Knowing this I further expressly agree that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the Sate of Florida, and that if any portion thereof is held to be invalid, it is agreed that the remaining portion or portions shall continue in full legal force and effect.

By completing my membership application, and checking the Agree box below, I AGREE THAT I HAVE READ THE ABOVE AND VOLUNTARILY AGREE TO BE BOUND BY ALL MATTERS STATED ABOVE. I further acknowledge that no oral representations, statements, or inducements apart from the foregoing written agreement have been made.

Agreement Confirmation(*)
You must check a box to confirm that you agree or disagee with the terms of the membership.

Please Type your name

Type the code before Submitting(*)
Type the code before Submitting RefreshTry again or click refresh

New Membership Fee $20.00
New Membership Fee $20.00 - 20.00 USD

You will be taken to PayPal to complete this transaction.

Submit & Pay

Go to top