Join | YOGi Cycling

YOGi Membership Form

Intro

We are pleased to welcome you to our club. To ensure that we have the correct contact details for you, please complete and submit the form below.

By completing this form you agree to pay the annual membership subscription payment (currently £10.00 per annum). On completion you will be redirected to our YOGi Paypal Payments page. You don’t need to have a Paypal account to do this.

Payment will entitle you to all club benefits. Your membership will be confirmed by the issue of a uniquely numbered membership card.

Please be aware that we accept your application to ‘YOGi Cycling’ on the condition that you agree to abide by our ethos to other members of the club, general riding courtesy, members of the public and the environment.

You should also be aware that ‘YOGi Cycling’ holds no responsibility for any injuries or accidents occurring to members or third parties even whilst partaking in club events.

For members under 18 years of age on the date of joining, a parental consent form must be signed and returned to the club secretary. In addition, any members under 16 years of age must be accompanied by a parent or legal guardian when participating in club rides.

The parental consent form can be downloaded here: https://yogicycling.com/joinrenew/parental-consent-form/. Your membership application will be held as pending until the signed consent form is received.

Personal Details of Individual

Name *

First

Last Name *

Last

Date of Birth (dd/mm/yyyy) *

Gender *

Male

Female

Address *

Postcode *

Email *

Home Phone

Mobile Phone

In accordance with the Data Protection Act we will take all reasonable care to ensure your personal data is not accessible by any third party. In the unlikely event it is requested we will not divulge any personal information without express permission directly from your e-mail address as given above.

Disability Information

The Disability Discrimination Act 1995 defines a disabled person as anyone with, ‘a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities.’

Do you consider yourself to have a disability? *

Yes

If yes, what is the nature of your disability?

Visual impairment

Hearing impairment

Physical disibility

Learning disibility

Multiple disibility

Other (please specify)

Medical Information

Please detail below any important medical conditions that ‘YOGi Cycling’ should be aware of (e.g. epilepsy, asthma, diabetes, a recent injury, etc.) and recommended treatment/actions to be taken if symptoms appear:

Medical details

Emergency Contact Details

Please indicate below the person who should be contacted in case of an incident/accident.

Contact Name *

Relationship

Contact Home Phone

Contact Mobile Phone

This is just to check if you're a real person:

Payment

Our annual membership subscription is currently £10.00. On clicking the button below you will be taken to our Paypal payment page.

You do not need to have a Paypal account in order to pay on line, just select the "Don't have a Paypal Account" option.

Thank you for joining YOGi Cycling.