Home Up Contents
Map Membership Form 2014 Club Colours History Mack Mowat Constitution Child Protection Grants

 


Click here to Download - MEMBERSHIP_FORM_2017.xls


 

CAITHNESS CYCLING CLUB 
MEMBERSHIP FORM
2017
                 
    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.
    2017 BC MEMBERSHIP FEES.
          GOLD SILVER BRONZE
    Senior 72 42 22
          Junior  53 28 22
    Youth  41 22 N/A
          Note! Bronze Membership does not 
    include Insurance.
    CYCLING UK MEMBERSHIP FEES 2017 Adult 43.00 Young Person 21.50
                 
  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: Thursday July 06, 2017 16:17