Bankstown Sports Cycling Club Registration

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We request you fill this form to assist with catering for cyclists in the training or racing or spectator/visitor/helpers

Date *

Available Training days are Monday or Wednesday (winter season)

29/03/2023

31/03/2023

03/04/2023

First Name *

Last Name *

Role *

Senior (18 and older)

Junior

Parent/Guardian Volunteer

Spectator

RIDER INFORMATION

Licence No

AusCycling 6 digit licence No eg "AC123456"

Club Name

Enter the club you have registered with in the current season

Bankstown Sports CC

Dulwich Hill BC

Lidcombe Auburn CC

Neo CC

Norwood CC (SA)

Parklife CC

Parramatta CC

Peloton Sports

Penrith CC

Randwick Botany CC

Southern Cross CC

St George CC

Sutherland Shire CC

Waratah Masters CC

Other:

Clear selection

Training Description

FRIDAY ONLY (What do you want to do? flyers, TT, track time, coaching or something else)
ADD EMAIL for confirmation

DECLARATION

We ask each visitor to confirm the following before they can enter the venue:

1. That you are not showing signs and symptoms of COVID-19(fever; flu like symptoms such as coughing, sore throat or headaches; or have difficulty breathing).

Cycling NSW event risk acknowledgment and waiver

1. I understand, acknowledge and accept that cycling is an inherently dangerous sport, which may result in serious injury or death from a collision, fall, mechanical failure, physical exertion or other incident.

2. I voluntarily participate in this event at my own risk.

3. I waive any rights I may otherwise have against AusCycling NSW, or Bankstown Sports Cycling Club and representatives relating to, and agree they are not responsible for, any loss or damage resulting from my participation in the event, including any loss that may arise from death or injury to myself or others, or damage to any property.

4. If the participant in this event is under 18 years of age, I warrant that I am a parent or guardian of the participant and agree for myself and the participant that I provide the acknowledgements, agreements and waiver set out above in respect of the participant.

Accept Bankstown Sport Cycling Club and CNSW conditions *

I agree

Required

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