Melton Olympic Cycling Club
NAME
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ADDRESS
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POST CODE ……………………….…………………………...
TEL. NO. ………………………………………………..…..
E-MAIL
ADDRESS
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DATE
OF BIRTH ……………………………………………
Do
you wish to be a First Claim, Second Claim or Social member?………………..…………….…….
If
second claim, what is the name of your first claim club?
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PROPOSED
BY ………………………..……………….………………………………...…….………..
SECONDED
BY ……………………………………………………….………………….………….…..
I
hereby declare to abide by the club rules and the rules of the road and behave
in a responsible manner when involved in club activities.
SIGNED
…………………………………………………… DATE …………………………………….