Norwoodcycle Club

NORWOODCYCLE CLUB

CYCLING FOR CHARITY-

REGISTRATION /MEMBERSHIP FORM 2018-2019

Thank you for riding with the NORWOODCYCLE CLUB(NCC). If this is your first time riding with us please read and complete all the sections of the form and sign the declaration.If you like riding with the club and want to continue then we ask you to support usby contributingan annual amount of £20 (March 1st –February 28th, 2019). This is divided between club admin (£10.00) and supporting our tandems fund (£10).

Email and sign (or type) the form back to

Title / Full name
Mobile no:
Home no:
Email address
Post code
Next of kin contact no
Date of birth

You should be reasonably fit and enjoy good health to participate in a Norwood Cycle Club ride.All rides are a minimum of 30 miles. If youhave any medical condition which could be adversely affected by exercise, (e.g, heart condition), or if you have any doubt about your health, you are advised to get clearance from your doctor.

Declaration:

• I agree to take part in the Norwood Cycle Club training ridesand I confirm that, to the best of my knowledge, my general state of fitness is good enough to ride.

• I agree to accept full responsibility for my own safety and any injury, loss or damage incurred on the ride. NCC and Norwood or its leaders, employees or agents cannot be held responsible for loss or damage to personal effects, accident, injury or death however so arising.
• I agree to wear a cycle helmet throughout the event. No helmet no ride
• I agree to abide by the highway code. Road safety is a priority. Riding single file on busy roads is a must and never ride more than 2 abreast.Your safety is our primary concern
• I agree not to use my mobile phone while riding and will stop and dismount from my bicycle before using the phone We consider wearing earphones on the ride unsafe and recommend you avoid using them

Name: signed or typed.By doing so I agree to the club rules.

……………………………………………………………………………………………………….…

Date:…………………………

I ______wish to become a member.

To pay subs £20.Please pay direct to our bank account and reference your last name

Bank: Lloyds TSB Gerrards Cross; Acc name: Norwood Cycle Club

Sort code: 30-13-30; Acc No: 00878763

Thank you for supporting the club,

Lynne Gilbert 07710 326514,

norwoodcycleclub.org.uk Follow us on twitter@norwoodcycle

NORWOODCYCLE CLUB is affiliated to British Cycling. NCC supports NorwoodChallenges,raising money for children, adults and families living with learning disability.

Norwood – Maximising PotentialReg No:1059050, 80-82,The Broadway, Stanmore, Middlesex