Surrey League

Join

1 Year (membership dates from 01-Jan)

e.g. Jemima
e.g. Puddleduck
e.g. jpuddleduck@river.org
To catch any mistakes
Please choose a password so you can edit your details later (must be at least 4 characters)
I would like to receive occasional emails with event news and special offers (you can opt out at any time)
If you are a member of an affiliated club select it here.
You MUST be a first claim member of the group you select, if not pick 'not a member of affiliated group'
If you join before your club has affiliated, you will not be eligible for any credits for discounts on your membership.
Members of affiliated clubs, once your membership is confirmed by your club rep. we will credit you with the discount shown.
* Address
Postcode
e.g. W12 8QT
Telephone
e.g. 0208 123 4567
Mobile telephone
* BC Membership Number
You MUST be a member of British Cycling to join the Surrey League
* Club/Team
This must be your first claim club/team. If you are not a member of a club/team put "Private Member"
Colours
e.g. Red/Grey
* Gender
Male
Female
* Date of birth
e.g. 29-Sep-1958
* British Cycling Category
Choose you British Cycling Racing Catergory
* Age Category
Choose your British Cycling Age Category
Blood group
(if known)
* Emergency contact name
* Emergency contact phone
I, the above, hereby apply for membership as a Riding Member/Registered Rider with the Surrey Cycle Racing League. If this application is accepted I agree to abide by the Rules of the British Cycling Federation and the Surrey Cycle Racing League. This includes providing my time to support the running of the Surrey Cycle Racing League or their events in whatever capacity I may reasonably be needed. I understand and agree that I participate in all Surrey Cycle Racing League races at my own risk, that I must rely on my own ability in dealing with hazards and that I must ride in a manner which is safe for myself and all others. I am aware that when riding on the public highway the function of marshals is only to indicate direction and that I must decide whether movement is safe. I agree that no liability whatever shall attach to the promoter, promoting club, race sponsor, the Surrey Cycle Racing League, the British Cycling Federation or any race official or member of the Surrey Cycle Racing League or British Cycling Federation or member of the promoting club in respect of any injury or damage suffered by me in or by any reason of the races, however caused. I declare that the information on this form is complete and correct.
* I agree to the above declaration
You must agree to the Surrey League terms