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Rockingham Forest Wheelers Membership Renewal Form
Applicant's Personal Details
Have your details changed...?
Select one of ...
*
My Personal Details have not changed since last year.
The details completed below have changed
Title
*
Mr
Ms
Mrs
Miss
Name
*
First
Last
Please enter forename and lastname. Use the name that you would like to be known by, it doesn't have to be what is on your passport.
Gender
*
Female
Male
Rather not say
Date of Birth
*
Please use DD/MM/YYYY format
Main Email
*
Alternative (Work?) Email
*
Preferred Phone
*
Mobile
Home
Work
Mobile
*
Home
*
Work
*
Emergency Contact
We need to have a contact point to inform in the case of an emergency.
Select one of ...
*
My Emergency Contact is the same as it was last year
Note NEW Emergency Contact details as completed below
Emergency Contact Name
*
Relationship to Person Applying for Membership
*
Emergency Mobile No
*
Emergency Alternative Phone No
*
Contact Address Line 1
*
Enter 'Same as member' if appropriate.
Contact Address Line 2
*
Contact Address Postcode
*
Club Membership
Membership Type and Fees
*
Indicates required field
Member Claim Type
*
RFW as First Claim (your main club)
RFW as Second Claim (a secondary club for you)
Your membership of FRW needs to be either First Claim if the RFW is your main team, or Second Claim if RFW will be a secondary team for you.
If you belonged to a British Cycling affiliated club before, and now want to join RFW as a First Claim, you MUST have formally resigned from your previous club. By submitting this form you are confirming this.
If you are joining as a Second Claim
, you must tell us who your first claim club is below, and they must be affiliated to British Cycling.
First Claim Club (must be BC affiliated)
*
Prices are
£15 for adult, first claim
£7.50 for adult, second claim
£25 for a couple or family (DOES YOUR PARTNER RIDE?)
£5 for Juniors (under 18)
Juveniles (under 16) are FREE
This Application is for me as...
*
... an Individual Adult
... part of a Couple/Family
... an Individual Juvenile or Junior
If joining as a couple/family, both adultsmust separately complete one of these forms, and name the other family members below.
*
Only one payment please to avoid confusion over who has paid what!
Donation
I would like to help the club by voluntarily donating an additional £10 to help with cycling development.
*
Yes, I will add £10 to my membership fee
No thanks
Payment
Please pay by sending the correct amount to our bank account, describing the transaction using '
Sub24
yourname
'.
Our account details are
Sort Code =
40-26-07
Account No =
61871005
Press to Renew Rocko Membership
Home
Contact
Interested in Joining?
Cycle Club FAQs
Join Rocko 2023
Club Rides
Club Routes
Time Trials
Time Trial Archive
>
2015 TT Results
2016 TT Results
2017 TT Results
Time Trial Reports
Off-Road
Rocko Ladies
Rocko Members
Rocko Calendar
Club Rules
Members Kit
Website Use
Twinning
Useful Links
Renew Rocko 2024