Membership

CAITHNESS CYCLING CLUB
MEMBERSHIP FORM
2019

		Use tab key to navigate through form and fill in details as required then print and sign.
SURNAME

FORENAMES

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DATE OF BIRTH				Only if you intend to race.

CATEGORY		TICK	FEE
	YOUTH		£5	12 Years old and those 16 year olds whose 16th birthday
	YOUTH		£5	falls within the current year.

	JUNIOR		£10	Whose 17th or 18th birthday falls within the current year.
	JUNIOR		£10

SENIOR /	VETERAN		£25	Veteran 40+

ASSOCIATE			£10	Full membership is required
ASSOCIATE			£10	if you intend to race.

*	FAMILY		£30

	STUDENT		£10	UNWAGED	copy and paste tick		√

INSURANCE			BC or C UK	Any member wishing to do Time Trials must have Insurance.
				Insurance is available by joining British Cycling minimum silver or
				Full C UK membership please insert which you are a member of.

		TOTAL
*	Family membership is to include all Youths, Juniors and Parents, Seniors must take out separate membership.
*	Please enter below other names to be included in family membership including date of birth if they intend to race.
						Insert as appropriate BC or CTC.
						2019 BC MEMBERSHIP FEES.
						GOLD	SILVER	BRONZE
						Senior £77	£45	£25
						Junior £58	£31	£25
						Youth £44	£25	N/A
						Note! Bronze Membership does not
						include Insurance.
		CYCLING UK MEMBERSHIP FEES 2018				Adult £46.50 Under 18 Years £22

	I understand that taking part in club events which is held on the public highway I participate therein entirely at
	my own risk and that no liability whatever shall attach to the club or any officials of the club or any member of
	the club for any injury loss or damage suffered by me in or by reason of the event however such may be
	caused and whether by negligence or otherwise.


SIGNATURE						DATE

		Persons under the age of 18 years old must have this signed by Parent/Guardian.