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2019 Membership

Download 2019 Membership Form

 

CAITHNESS CYCLING CLUB   
MEMBERSHIP FORM  
2019  
                   
    Use tab key to navigate through form and fill in details as required then print and sign.  
SURNAME              
                   
FORENAMES              
                   
ADDRESS          
           
         
           
         
             
           
                   
                   
TELEPHONE                
  HOME                 
  MOBILE                 
  E-MAIL                
                   
                   
DATE OF BIRTH     Only if you intend to race.        
                   
CATEGORY TICK FEE            
  YOUTH    5  12 Years old and those 16 year olds whose 16th birthday    
   falls within the current year.        
                   
  JUNIOR    10  Whose 17th or 18th birthday falls within the current year.    
             
                   
SENIOR /  VETERAN    25  Veteran 40+          
                   
ASSOCIATE    10  Full membership is required         
 if you intend to race.    
                   
* FAMILY    30            
                   
  STUDENT    10 UNWAGED copy and paste tick    
                   
INSURANCE    BC or C UK  Any member wishing to do Time Trials must have Insurance.       
   Insurance is available by joining British Cycling minimum silver or  
 Full C UK membership please insert which you are a member of.  
                   
    TOTAL              
* Family membership is to include all Youths, Juniors and Parents, Seniors must take out separate membership.     
Please enter below other names to be included in family membership including date of birth if they intend to race.    
          Insert as appropriate BC or CTC.  
    2019 BC MEMBERSHIP FEES.  
          GOLD SILVER BRONZE  
    Senior 77 45 25  
          Junior  58 31 25  
    Youth  44 25 N/A  
          Note! Bronze Membership does not   
    include Insurance.  
    CYCLING UK MEMBERSHIP FEES 2018 Adult 46.50 Under 18 Years 22  
                   
  I understand that taking part in club events which is held on the public highway I participate therein entirely at    
  my own risk and that no liability whatever shall attach to the club or any officials of the club or any member of     
  the club for any injury loss or damage suffered by me in or by reason of the event however such may be     
  caused and whether by negligence or otherwise.            
                   
                   
SIGNATURE         DATE      
                   
    Persons under the age of 18 years old must have this signed by Parent/Guardian.      
                   
                   
                   
Last modified: Friday April 05, 2019 10:46