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Joining
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Photographs of me to be used by the Club
*
Yes, I am happy
No, I am not happy
Name
*
First
Last
Email
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Date of Birth
*
DD/MM/YYYY
House No/Name, Street
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Village/Town
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Post Code
*
Preferred Contact Number
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Emergency Contact Number
*
Emegency Contact Name
*
Choose Membership Category
Senior Rider 1st Claim £20:00
Senior Rider (60 and Over) 1st Claim £10:00
Family membership – up to 2 adults + all children under 18 in full-time education – 1st claim £40:00
Junior Riders (16-17 years inclusive) – 1st claim £10:00
Juvenile Riders (under 16) – 1st claim £10:00
Social (non-riding) members £5:00
Second claim £10:00
Payment Method
*
Bank Transfer
Cheque
Cash
Name of first claim club if you are not a Sleaford Wheeler first claim
Medical Information
Please insert any information that you feel the club should be aware of.
Parent or Guardian under the age of 18. I confirm my consent to the above rider participating in events organised by the Club in accordance with the SWCC Rules, Regulations and Code of Conduct
Agreement
*
I agree to abide by the SWCC Rules, Regulations and Code of Conduct
To review our Rules, Regulations and Code of Conduct visit https://sleafordwheelers.co.uk/TandC2.html
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