All house members must reside at the same address.
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Full name & title. 

Name by which you prefer to be known 
If a previous member, please advise of membership number if known
Family address (including postcode) *
Mobile phone number *
Email address. 
(Correspondence will be via email). 
Type of riding preference *
Would you like to receive our Club e-newsletter emailed approx 4 times a year? *
Photographs of our rides & riders may be published in our e-newsletter or/and shown on our website. Please indicate if you are willing to be photographed. *

By submitting this form I acknowledge & accept participation in any Cycle Seahaven ride/event is at own risk, and neither Cycle Seahaven nor the event organisers shall be liable for loss or damage. I also accept responsibility for ensuring appropriate fitness, to have familiarised myself & comply with club rules, and that cycle helmets are compulsory.

Is there an ADULT 2? *
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