Club Membership Registration Form

Club Membership Registration 2024

Complete the form below to sign up for our membership, then pay on the Club Website.
Rider Name

First NameLast Name
For family membership add additional riders:
Riders names
E-mail
example@example.com
Phone Number:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date:

DayMonthYear
Name of Parent/Carer

First NameLast Name
Contact email of parent/carer
example@example.com
Contact Number of Parent/Carer
Contact telephone number
Any specific medical conditions that require treatment? If yes please descibe and include any medications that are required.
Any specific medical condition or disability? If so please describe.
I give my consent that if an emergency medical situation arises, the organisation/club may act as loco parentis. If the need arises for administration of first aid and/or other medical treatment which in the opinion of a qualified medical practitioner may be necessary. I also understand that in such circumstances that all reasonable steps are made
Type a question

Consent givenConsent not given
Membership Rules

Please ensure you read and understand the following policies which are added at the bottom of the form, and tick:
Please confirm these have been read by ticking.

Riders Code of conductParents/Guardians Code of ConductCovid-19 Test and Protect Self-QuestionnaireRiders pre-session briefingRiders must have own BMX equipment such as Bike, helmet and gloves
Please tick if you give consent for your child to be photographed. Photographs will only be used for Club purposes on website and social media.

Photography and social Media Consent
I have read, understood, and accepted the rules for membership.
Privacy Policy
GDPR - PRIVACY POLICY
- we will only process personal data for specified and lawful purposes
- we will endeavor to hold relevant and accurate personal data, and where practical, we will keep it up to date
- we will not keep personal data for longer than is necessary
- we will keep all personal data secure
Please tick if you give consent to be contacted by email

Please contact me by emailI do not wish to be contacted by email
I have read, understood, and accepted the PRIVACY POLICY for membership.
Pre session Rider and Parent Checklist
Code of Conduct for parents/carers
Code of Conduct for Riders
Social Media Guidelines
Should be Empty:

Club Membership Registration 2024

Membership Rules

Privacy Policy