BSCC Membership Application
Affiliated to British Cycling, Cycling Time Trials and Western Time Trial Association.
Please complete this form to apply to join Bristol South Cycling Club. Existing members can also use it to update/add their details.
Your details
Forename
Your answer
Surname
Your answer
Date of birth (Care - depending on your settings it might be dd/mm or mm/dd)
MM
/
DD
/
YYYY
Gender
Address
Your answer
Postcode
Your answer
Contact number (Space between code and number)
Your answer
Email address
Your answer
Are you member of any other cycling organisation?
If yes name the organisation and give reasons for wishing to join Bristol South
Your answer
Existing member who sponsors your application
If you don't know any existing members please contact the membership secretary before submitting this form. We normally like prospective members to have taken part in a social or competitive ride with us before joining.
Your answer
Which aspects of cycling are of particular interest to you?
Emergency contact details:
Name
Your answer
Phone number (Space between code and number)
Your answer
Agreement
If my application is approved by the club committee, I will:
Abide by the club rules and respect the authority of the club officers.
Arrange 3rd party insurance by joining a recognised cycling organisation (e.g. BC, CTC)
Agree to my membership details being stored electronically
Submit
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