Sleaford Wheelers Cycling Club

Sleaford Wheelers Membership

for membership until January 31st 2023

Before completing this form, plase 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 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:

Payment Method

Name of first claim club if you are not a Sleaford Wheeler first claim

Medical Information: (Please enter any information that may be relevant)
None

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