Application Form
Membership Application Form
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Name:
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Address:
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Mobile No: Home No:
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Email address:
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Bike(s):
Qualifications:
First Aid: Yes / No Advanced Rider: Yes / No Advanced Instructor: Yes / No
Other: (i.e., mechanic)
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Membership paid: Yes / No Method: Cash / Cheque / Direct Debit
Amount: Date:
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Polo Shirt Size (circle): S M L XL XXL XXXL Date shirt received:
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Group Ride Disclaimer
All participants in club ‘ride outs’ must remember that they are expected to be in total charge of their road legal motorcycles at all times, and that Frozen Bones Motor Cycle Club (FBMCC) cannot accept responsibility for any actions you may take, or any accidents that you are involved in.
“I agree with the above Group Rider Disclaimer and that I understand and accept that I ride my motorbike (with pillion passenger if applicable) during arranged Club activities at my own risk. I agree that road legal biking and insurance is my own personal responsibility.”
“I have received a copy of the FBMCC Constitution. I have read and accept the rules set out therein.”
Signed:…………………………………………………………………….Date:………………………………………………..
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Data Protection Act 1998
In accordance with our responsibilities under the Data Protection Act, you should be aware that the personal information you choose to provide will not be passed to any person or organisation outside FBMCC (unless we have your consent, or where we have a legal obligation to do so) but will be held by us. The FBMCC will not sell or rent your personal information to anyone. The FBMCC will prevent the loss, misuse and alteration of personal information under its control. It will be understood by FBMCC that, in providing personal information, you agree to its use by FBMCC under these conditions and to the extent described in this Disclaimer. |
