Club Sign Up - Membership Consent

If you want to register consent for more than one child, please register one on this form, and submit. Then repeat the registration and consent process as many times as you need for other children.

Please read our Membership Information Pack and Data Privacy Notice - both of which can be found at www.bigfootyouth.cc in the Members / General Information section.

Rider's First Name:*

Rider's Surname:*

Rider's Date of Birth:*

Date

Rider's Gender:*

FemaleMale

British Cycling membership number (if applicable)*

Write "n/a" if currently not a member

Parent / Carer's Name - this is to be the person registering the consent:*

Parent / Carer's Relationship to Rider*

Parent / Carer's Address and Postcode:*

Parent / Carer's Email Address:*

Write "n/a" if have no email address

Parent / Carer's Home Telephone:*

Write "n/a" if don't have this type of number

Parent / Carer's Mobile Telephone:*

Write "n/a" if don't have this type of number

Emergency Contact Name #1:*

Emergency Contact Telephone Number #1:*

Emergency Contact Name #2:*

Write "n/a| if not providing a second contact

Emergency Contact Telephone Number #2:*

Write "n/a" if not providing a second contact

Disability information:*

If none, wrote "None"

Medical information:*

If none, wrote "None"

Injury / illness guidance:*

In the case of serious accidents or illnesses, we will act as described in the Member Information Pack - if you have any particular guidance for the Club under these circumstances, please note them here. If you have none, wrote "None"

Photos and Video Consent:

It is particularly important for the Club to encourage adults and children to take part in the healthy activity of cycling, thus to promote the Club as well as to celebrate the achievements of the children in the Club. An important part of this is the use of photos and video footage. Please tick the relevant button below if you agree / disagree with the statement below:

I am happy for the Club to publish photographs and/or video footage of my child on the club website and by other means for the purposes of publicising and reporting on Club events and activities, for coaching purposes and to celebrate the achievements of the Club's riders in accordance with the Club's Data Privacy Notice*

AgreeDisagree

Membership Consents

Please confirm each of the consent requests below:

I have the right to give parental consent*

Yes

I have read, understood and consent to accept the Member Information Pack Whole Club v5, including with regard to the Obligations and Codes of Conduct*

Yes

I have read, understood and consent to accept the Data Privacy Notice - Bigfoot Youth CC - v1*

Yes

The Rider named above may take part in the activities of the Club*

Yes

Comments:*

If you have no comments, just write "None"

We now ask a few more questions to help our coaches and volunteers get to know this Rider. Thank you

Rider's previous cycling club or cycling group:*

If none, wrote "None"

Has the Rider had any cycle coaching before:*

YesNo

Rider's cycling experience to date:*

If none, wrote "None"

Does the Rider participate in other sports, which sports and how often:*

If none, wrote "None"

Main reason for joining the club:*

What types of cycling is the Rider interested in:*

Answer can include: not sure, cycling for fun and fitness, mountain biking, road riding, time trials, mountain bike racing, cyclocross racing, closed circuit road racing, off road challenge rides, on road challenge rides, social rides, cycle touring or anything else

Longer term, is there anything the Rider would like to achieve:*

If not sure, just write "Not sure"

Is there anything else you would like to let us know:*

If none, write "None"

Bigfoot Youth CC - Membership Consent - Youth section