Application Form

Membership fees are for 1 year and runs until Jan 31st 2026

PAYMENT DETAILS:
Payment by BACS
Sort Code 30:97:70
Account No. 00999739 (use your name Member as ref)

Payment by Post/Person
Please send forms and payment direct to: Nige Dean, 83 Boston Road, NG34 7HH
Cheques to be made payable to Sleaford Wheelers CC

NOTES:
You can only be registered as a 1st Claim member of one club/team affiliated to Cycling Time Trials; if this is not SWCC you are welcome to join us as a 2nd Claim member. Please let us know the name of your CTT registered 1st claim club/team. A rider may only change their 1st claim club/team once in any calendar year.

2nd Claim Associate for HM Forces is only applicable to those who are serving members who are affiliated to their respective Association with
CTT, e.g. RAFCA and local to SWCC.

To review our Rules, Regulations and Code of Conduct visit the links in the website footer.

First Name*

Last Name*

Date of Birth*

Contact Number*

Email*

Medical Information

Address Line 1*

Town/Village*

Post Code*

Emergency Contact*

Emergency Number*

Membership Type*

Payment Method*

If Sleaford Wheelers is not your first claim club, please provide the name of your first claim club

Photographs of me can be used by the club.*

Yes

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.*

Yes

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.*

Yes

Name of Parent/Guardian (for under 18's)

HP Name

Membership Form 2025

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