For membership until January 31st 2023
Before completing this form, please take a little time to read the SWCC Rules & Regulations Click Here
DECLARATION Please tick to agree with the following I declare that I have read and understand the rules and regulations of the Sleaford Wheelers Cycling Club ('the Club'). I undertake to abide by those rules. I understand that I participate in club events, whether on or off the public highway, entirely at my own risk, and that no liability whatsoever shall attach to the promoter of the event, any officials or members of the Club for any injury, loss or damage suffered by me, however caused.
Please select below as appropriate
Photo: I am happy am not happy for Photographic Images of me to be used by the club.
Your name:
Date of Birth:
House No, Street:
Village or Town:
Other:
Post Code:
Preferred Contact Number:
Alternative Contact Number:
Emergency Contact Name:
Emergency Contact Number:
Your email address:
Choose Membership Category: Senior Rider 1st Claim £20:00 Senior Citizen (statutory pension age) – whether competing, club riding or otherwise £10:00 Family membership–up to 2 adults + all children under 18 in full-time education-1st claim £40:00 Junior Riders (16-17 years inclusive)-1st claim £10:00 Juvenile Riders (under 16)-1st claim £10:00 Social (non-riding) members £5:00 Second claim £10:00
Payment Method Please select Bank Transfer Cheque Cash
Name of first claim club if you are not a Sleaford Wheeler first claim
Medical Information
Parent/Guardian of person under 18 I confirm my consent to the above rider participating in events organised by the Club in accordance with the above rules and regulations
