Broken Chains is for those Bikers and Motorcycle Enthusiasts that are involved in a recovery ministry or attend a specific recovery group on a regular basis. Your personal recovery comes first. Please understand this application process is only to ensure that those joining our fellowship meet the basic requirements.

***IMPORTANT*** Please be sure to give your reference (Recovery Leader / Sponsor) permission to tell us that you attend recovery meetings on a regular basis. You have to attend your recovery meetings 4 consecutive weeks prior to becoming a member.

* Riding Member

Yes

No

year/make/model of bike

* Gender

Male

Female

* First Name

* Last Name

* Email Address

* Phone

* Password

Strength: Very Weak

Address

* Country/Region

* Street Address

* State

Please select "INTERNATIONAL" if outside of the US.

* City

* Postal Code

* County

Additional Details

Additional address details

* Can we list you as a member?

Yes

No

* Recovery Leader/Sponsor/Pastor

* Recovery Leader/Sponsor/Pastor's Phone # & Email

Details

* Church

* What struggle(s) brought you into recovery?

* Do you have a written testimony

Yes

No

* Are you willing to share your testimony

Yes

No

* Broken Chains requires $10 monthly dues. Are you willing to pay monthly (or yearly)? We are transparent with our funds so if you have any questions, reach out to your local P.O.C.!

Yes

No

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