EmailMe Form - Abingdon Freewheeling Membership Registration

Abingdon Freewheeling will keep your personal details in compliance with the Data Protection Act 1998. Are you ok with this? *

Yes

No

If you are not, then your data will be deleted when your membership finishes.

Your Details

Firstname *

Lastname *

Email *

Mobile Number *

Format 07xxx xxxxxx

Address Details

House and Street *

Town *

Postcode *

Gender *

Age *

How did you hear about us? *

Preferred discipline *

Information

Would you like to be informed of Abingdon Freewheeling news and events? *

Yes

No

Have a look at our Facebook page: facebook.com/abingdonfreewheeling

Legal Stuff

• I agree to act safely and responsibly.
• I agree to adhere to the rules of the road and the countryside.
• It is my responsibility to ensure that maoueuvres are carried out safely.
• I am fit and healthy enough to participate in my chosen activities.
• My cycle is in a safe, legal and rideable condition
• I accept that Freewheeling cannot be held responsible for any personal injury, accident, loss, damage or public liability.
• I am 16 or over (see below for the consent form to be used for under 16s) *

Yes

No

Parental Consent Section for riders under 16

Parent or Guardian name

First Last

Contact number

I consent

By checking this box the parent or guardian of the rider under the age of 16 is consenting to the fact that the rider has the required level of maturity and fitness to ride in an adult environment with other riders.

If any rider leader considers the above statement to be false, the rider will be asked not to continue attending the rides.

Please note that the parent or guardian may be contacted regarding this consent to ensure they have indeed given consent.

Membership

Years of membership

If you feel passionate about Freewheeling and would like to commit for longer than 1 year, then please select how long.