Membership Application

Your first name

Last name

All data recorded by the club will only be used for the purpose of running the club and will not be passed on to any third party. Data will be deleted when you cease to be a member.

Subscriptions

Subs are renewed on the 1st November every year. Members joining on or after 1st September do not need to renew their subs until the following year. Those joining before 1st September will need to renew their membership on the 1st November. Payment details will be sent to you after we have received your application.

Choose type of club membership

First claim

Second claim (if you are a member of another Cycling Time Trials affiliated club - please provide name of club below)

My first claim club is:

Declarations, please tick

I hereby apply for membership of the Kingston Phoenix Road Club and agree to abide by the Constitution and Rules of the club, and as they may be amended from time to time.

I am not under suspension applied by any cycling organisation or having been suspended have been reinstated.

I agree to abide to the Rides Etiquette

I have read the club's Affiliations and Insurance

I have read the club's Risk Assessment

Joining Date

Day

Month

Year