Application for Membership 2015
St Ives Cycling Club encourages active participation in all forms of cycling and organises a number of events to provide opportunities for competition. To qualify for Standard Membership of St Ives CC in 2015 you must meet at least one of the following requirements:
•have assisted at two events during 2014; either club open events or evening time trials
•be a committee member for 2015 (or be assisting running the club with committee approval e.g. Go-Ride coaches)
•have organised an event on behalf of St Ives CC during 2014 (including Go-Ride)
•be a Life or Honorary member
Members who joined after June 2014 must have supported the club on at least one occasion. Members under the age of eighteen are not required to assist at events in order to maintain their Standard Membership.
PLEASE INDICATE ON PAGE 3 BELOW HOW YOU WILL
ACTIVELY SUPPORT THE CLUB DURING 2015.
Membership Benefits
All members will receive the following benefits in 2015:
- Entitlement to participate and compete in all club events and activities
- Discount at Grafham Cycles - 15% on bikes/frames and 20% on clothing/accessories.
- For 1st Claim Members Only:
- Entitlement to enter open events as a St Ives CC member
- Entitlement to wear the club kit in competition
- Eligibility for the club win bonus scheme (as detailed in the October 2014 committee meeting minutes)
Membership Fees
Category / Standard Membership Fee / Membership fee for non-active membersAdult (aged 18 and over) / £15 / £50
Adult 2nd Claim / £8 / £20
Family / £20 / £60
Youth (aged 13-18) / £8 / £8
Junior (aged 12 and under ) / £4 / £4
Life/Honorary Members / Free / Free
*Age is taken as at 1st January 2015
All Adult members rejoining from previous years who do not qualify for Standard Membership in 2015 should pay the Non-active Fee. All other members and new membersshould pay the Standard Membership Fee.
New members joining after June 1st will pay half fees for the remainder of 2015.
New members joining after October 1st will pay the full fee and become members through to the end of 2016.
Application Form 2015
Membership Forms: Please send completed application forms to: / Membership Fees: Please pay the correct fee by:Post: Andy Widdess, 255 Ugg Mere Court Road, Ramsey Heights, Huntingdon, Cambridgeshire PE26 2RJ / Cheque: Payable to St Ives CC
Email: (Scanned, Signed copies) / Bank Transfer: Barclays Bank – St Ives CC
Sort: 20.43.63 A/C 60774626(Mark as “Membership”)
Main Applicant Details / Name
Membership Type / Adult Family Youth Junior 2nd Claim Life/Hon
Address Line 1
Address Line 2
Town
Postcode
Email Address
Tel. / Mobile
DOB / Gender
Main Club / (for 2nd Claim only)
Name / DOB / Gender
Additional Family Members / Spouse
Child 1
Child 2
Child 3
Child 4
To be signed by Parent or Guardian if main applicant is under 18:
I acknowledge that I have been advised as to the nature of St Ives CC club activities (via the web site, or by a committee member). I understand and agree that my son/daughter participate in club activities entirely at their own risk, that they must rely on their own ability in dealing with all hazards and that they must ride in a manner which is safe for themselves and all others. I agree that no liability whatsoever shall be attached to St Ives CC, its officials, or other members in respect of any injury, loss or damage suffered by my son/daughter however caused. I am satisfied that my son/daughter is sufficiently responsible and experienced to assume full and entire responsibility for his/her own safety whilst engaged in club activities on the public highway.
Signed / DateTo be signed by Main Applicant:
I acknowledge that I have been advised as to the nature of St Ives CC club activities (via the web site, or by a committee member). I understand and agree that I participate in club activities entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe for myself and all others. I agree that no liability whatsoever shall be attached to St Ives CC, its officials, or other members in respect of any injury, loss or damage suffered by me however caused.
Signed / DateClub Participation 2015
St Ives CC relies on the support of its members to operate effectively. Please use this section of the form to indicate how you intend to support the club in 2015 and return it with your membership form:
Adult and Family members only
Activity (please select from the following) / TickI am a Life or Honorary Member /
I am a committee member or I am assisting to run the club with committee approval in 2015 /
I am organising an Event on behalf of the club in 2015 /
I will Marshall or Assist at the following Events
April - September / Club Evening Time Trials /
Sat 18th April / St Ives 10m TT Open on N1/10 /
May (Date TBC) / NCRA 2/3/4 Scratch race /
Sat 11th July / ERYCS Youth Road Race /
Wed 9th September / Dave Nelson Memorial Hill Climb /
Sun 20th September / LVRC Percy Stallard Series RR /
Nov (Date TBC) / Eastern League CycloCross /
Dates for the events that are TBC above will be confirmed as soon as possible.
If you can’t make an Event that you select today, it is your responsibility to let the organiser know AND to nominate a replacement event by emailing
Thank you for your continued support of St Ives CC