MERTHYR CYCLING CLUB

 MERTHYR CYCLING CLUB MEMBERSHIP APPLICATION/RENEWAL FORM - 2013

Read and sign this form and return it with your annual applicable subscription to Merthyr Cycling Club send to: - Adrian McDonald, 2 Brunswick Street, Merthyr Tydfil CF47 8SB.
If paying by cheque make payable to Merthyr Cycling Club.
Please tick as appropriate: - Renewal / New Membership.

Fees
Full membership £25, Junior (<18 Free), Non Racing/Social member £5, Second Claim Member £3/ race. State name 1st Claim Club ……………………. Hon Life Membership (free).

Full Name ………………………………........................
Address ………………………………...............................................................................................
Postcode …………………… Telephone No ……………… D.O.B ………………..
Email ………………………………..... Emergency Tel No ……………………………….

Merthyr Cycling Club is a non-profit organization that aims to promote cycling in all its forms as a sporting and leisure activity, included in its activities are recreational and training club rides, time trials, long distance riding ,off road riding, touring and social events.
The Merthyr Cycling Club is affiliated to a variety of National Bodies including the BCF through Welsh Cycling Union, the Welsh Cycling Association, the CTT (RTTC) and the WWCL.

1. I acknowledge, agree and represent that I understand the nature of Cycling Activities and that I am suitably experienced, in good health and in proper physical condition to participate in such activity. I further acknowledge that the activity will be conducted over public roads and facilities open to the public and upon which the hazards of travelling are to be expected.
2. I fully understand that cycling activities involve risks and dangers of serious bodily injury. I fully accept and assume all such risks and responsibility for losses, costs and damages that I may incur as a result of my participation (or that of the junior) in club run activities. I therefore agree that under no circumstances shall the Merthyr Cycling Club, its Administrators and Organizers be liable for any such losses, costs or damages.

Note: It is strongly recommended that members of Merthyr CC also take out either membership of the CTC or BCF insurance, for cover against Third Party insurance claims, legal advice and specialist support should the need arise. It is also strongly recommended that a protective helmet be worn when taking part in club run events. For under 16’s the wearing is mandatory for all CTT authenticated events.

For initial categorization; Please provide your fastest time - trial time during the last 3 years (if applicable) ……………………………

I have read and agree to the terms and conditions above.
Signed ……………………………….... Date …………………………….
Print Name ………………………………......................................................
 
If under 16yrs of age Parental Consent Required.
Signed ………………………………........................
Relationship to Applicant ……………………………