Christchurch Singletrack Club Membership 2021
Membership for the 1 July 2021 to 30 June 2022 year.

Memberships can be paid directly into the club bank account or in cash at an event. The club bank account number is 03-1355-0659108-01. If you don't have an email address contact Rebekah on 0273134908 to discuss options. This form is just for JOINING the club. There will be a separate form for signing up for events.
Email *
Type of membership *
First Name *
Surname *
Date of birth *
MM
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DD
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YYYY
Gender *
I give permission to pass my details to CyclingNZ/MTBNZ (this is part of the club affiliation)
Clear selection
Address
Mobile number
Landline
Emergency contact name
Emergency contact number
Family Memberships - list names and birthdates of additional people
School/s (if applicable)
I would like to
How will you pay? *
Is there anything else you would like to say?
Thank you! (Don't forget to press Submit)
We appreciate your support. This form is not automatic - someone will be in touch to acknowledge your membership when they can. Now click on that Submit button!
A copy of your responses will be emailed to the address you provided.
Submit
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