Walden Velo application for membership Name

Address

Telephone E Mail Date of Birth

Postcode

Membership Class:

BC member Y/N

First

Membership No.

Second

1st claim club if applying Second Next of Kin - In case of emergency Name

Telephone 1

Telephone 2

Relationship

Please enter the amount enclosed(or sent to our account)

FIRST

SECOND

18+ years old

£25.00

£25.00

1. Make a cheque payable to: Walden Velo (membership is for 12 months from the date of joining) 2. Via PayPal to [email protected] 3. OR send the subs to the Walden Velo bank account: Payment recipient Sort Code Account Number Date of payment REFERENCE

Walden Velo 09-01-28 71358827

This will appear on your bank statement

This will appear on the club bank Forename Surname or membership Number for renewals statement The reference is important so we know for who’s membership the payment is for NB you can also use these bank details to set up a standing order with your bank I agree to abide by the Walden Velo rules including committing to two club duties in the year of membership. My preferred roles are: Event Marshalling Event Catering Club ride leading Event organising Website support Newsletter Articles SIGNED (prospective member)

DATE:

Your details may be distributed to committee members, put a X in the box to stop this happening To save costs and to reduce the burden on the volunteers that organise the club the preferred method of communication is email and the club website.

To help us to understand members' requirements, please indicate your main interests: Road Racing

Time Trialling

Du/Triathlon

CycloX

Track Racing

MTB racing

3. Then post membership form to Claire Powell 9 Fair Leas Saffron Walden Essex CB10 2DR [email protected]

WALDEN VELO GIUDLINES AND RULES 

Anyone taking part in a group ride, irrespective of whether they consider another to be a “leader,” must appreciate that they are responsible for their own actions. If a member is involved in an incident where a third party is injured of has property damaged they must stop and offer contact details irrespective of who is at fault.



Contact lists of members will be distributed to committee members to aid the smooth running of the club. Names, telephone numbers and e-mail addresses may be given to other members of the club. Tick this box if you do not wish your contact information to be given to other club members.



From time to time photographs or video of cycling activities may be taken and used to report individual and club successes, activities and to advertise the club. Published images may be accompanied by name and only if appropriate age (no other details will be divulged). Should you NOT want your image to be in published, please write any restrictions you would like to impose on to this form below:

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Member must adhere to the Clubs ride guidelines which can be found on the Website: http://www.waldenvelo.com/club-rules