Beacon Wheelers Membership
I wish to apply for / renew my membership of Beacon Wheelers.
I agree to abide by the rules of the club and acknowledge Club Membership runs annually and is due as of January every year.
I understand the nature of the club’s activities, and that in the case of an accident no claim may be made against any club official or event organiser in respect of the accident or any other circumstances relating to that accident.
Send Cheques made payable to BEACON WHEELERS to the CLUB SECRETARY for the below membership fees.
Alternatively can pay on club website via Club shop.
Mrs Lorraine Egglestone - 5 Cypress Way, Carleton Heights, Penrith, CA11 8UN
Adult and Junior (16 - 18 years of age) - £10 (first and second claim)
Youth Membership - Under 16 - FREE
Name - First Name Last Name
First Claim Club?
Address - Full Address Including Post Code
Mobile Telephone Number
Emergency Telephone Contact
Emergency Telephone Contact - must be contactable during the event and not your own number!
Date Of Birth
Full Name (this will be taken as signature for acceptance of club rules regulations) *
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