Application Form
Title: Mr / Mrs /
Miss / Ms Surname:
Forename (s): Date of Birth:
Address:
Postcode:
Tel
(daytime): Tel (evening):
Email
address:
What type of
riding do you prefer: (please tick)
X –country Downhill
Single track General off road
Do you
require transport to/from rides or events? (Yes or No)
Are you
prepared to provide transport to/from rides or events?
Level of
fitness: (Poor/Average/Good/Very good)
Please list
any health conditions:
Emergency
contact name & relation:
Address:
Postcode:
Tel
(daytime): Tel (evening):
I accept that Cyclone Mountain Biking Club will be
keeping the above information about me in connection with membership of the
club. I give explicit consent to the holding of this information,
and its use in connection with the administration of the club - this will
include membership management and communications. Any of the information
provided will not be passed to any third parties outside the club
committee without your consent.
Signed: Date:
The membership joining fee is £5. The annual fee for membership is £15.
Please return your signed application form complete with membership
and/or annual fee (cheque) made payable to ‘Cyclone MBC’. Address them to Caroline Taylor,