Mountain Bike Club
CTC AFFILIATED
Application
Form
Name:
Address:
Postcode
Telephone Number Date of Birth (if under 18)
Mobile Email
Full Member: £20 (£12 from 1 April .. 30 Sep)
Unwaged or in full time education: £12 (£8 from 1 April .. 30 Sep)
Benefits of membership include, discounts at some local bike shops, personal 3rd party insurance, group liability insurance, discounted cycle insurance, regular bulletins and lots of friends to cycle with!
I have read and agree to abide by the rules laid down by the committee of the Bog Trotters Mountain Bike Club I certify with my signature that participation in Bog Trotters Mountain Bike Club is at my own risk. I understand that the organisers or people responsible for such events will take absolutely no liability for accidents or damage of any nature. With my signature (or the signature of a legal guardian for people under the age of 18) I expressly state that I will make no claims against the above mentioned in case of damage or injury.Signature Date
Signature of Parent/Guardian (if under 18) Return completed applications and payment (Cheques payable to Bog Trotters MBC) to :Bog Trotters Mountain Bike Club, c/o IRIS Technology, 4 Waterview, White Cross, Lancaster LA1 4XS