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Northumbria Cycling Member
Welcome to Northumbria Cycling. This group is FREE to join and we welcome all cyclists. Please complete this form to become a member of our group.
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Full Name
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Your answer
Contact Email
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Your answer
Contact Number
Your answer
Gender
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Female
Male
Prefer not to say
Other:
Who are you?
*
Staff
Student
Public
Please list below your staff ID or Student Number
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Your answer
If you are a public member - Please state your Next of Kin (Name, relationship & contact number)
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Your answer
Age (as at 1st September 2021/Over 18 only)
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Your answer
Do you have a British Cycling Card? (including medical/next of kin details)
Yes
No
Other:
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In order to take part in the Northumbria Cycling sessions you must confirm you have a road worthy bike and an appropriate safety helmet
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