Please complete the following, print out and return to the address below if you would like to join St. Austell Wheelers. Feel free to come along to a club ride before committing to membership. The Sunday Club run is the best way to try it out and see if it is for you. We try and cater for all abilities and are a very friendly club. (Membership form download here)
2018 MEMBERSHIP RENEWAL / APPLICATION FORM
I hereby apply for one year’s membership of St Austell Wheelers,
I agree to be bound by and observe the rules and regulations of the St. Austell Wheelers Cycling Club having read & understood them on the St. Austell Wheelers Cycling Club website and wish to become a member of the club , having been considered for membership of the St. Austell Wheelers Cycling Club, neither I nor my heirs, executors or administrators will make any claim against the club or any of its servants, agents or other members in respect of any loss of or damage to property or injury to person (including injury resulting in death) due to negligence or any other cause which I may suffer while in consequence of my membership of the club and I understand that no compensation will be paid by the club in respect of any such loss or injury.
Tick applicable box:
Adult £20…[ ] Junior £5…[ ] Juvenile £5…[ ] 2nd Claim £5…[ ]
I DO, DO NOT wish my email to be seen on the club website, please cross out as appropriate.
Telephone Number, Land Line
Date of Birth
…………Day …………Month …………Year
Nominated Next of Kin Contact
Last Club I was a member of was
Date I left
*I am still a member of(club name)
but wish to be a 2nd Claim member of St. Austell Wheelers. (This enables you to ride St.Austell Wheelers Club Runs but not race under our club name).
Please complete then send by post with cheque made out to:
“ST AUSTELL CYCLING CLUB”
9 POLYEAR CLOSE POLGOOTH