GUEST RIDER FORM

 

NAME : ……………………………………………………………………..

 

ADDRESS :……………………………………………………………………………………

 

DATE OF BIRTH: ……………………………………….. If under 18yrs or a vulnerable adult you will need PARENTAL/GUARDIAN PERMISSION below.

 

EMAIL : ………………………………………………

PHONE : …………………………………………………………….

 

EMERGENCY CONTACT NAME : ………………………………………

PHONE : ………………………………..

 

CLUB RULES

 

(a) Members will not behave in such a way as to damage the reputation of the Club

(b) Members will observe the normal rules of the road when riding on the public highway and will at all times ride with consideration for others both on and off road (particularly walkers and horse-riders)

(c) Members are responsible for ensuring that their cycles are roadworthy and should carry some form of personal identification and emergency contact details with them when taking part in Club events.

(d) Members and guests must wear a cycle safety helmet for all Club rides.

(e) Members participating in Club rides must abide by ‘Winchcombe Cycling Club – Rules for Club Rides’.

(f) Members under the age of 18 must abide by the Club’s ‘Under 18 Policy’, and those aged 1 or under and vulnerable adults must be accompanied by a parent/guardian or a responsible adult nominated by them.

 

FITNESS DECLARATION - I am fit and healthy enough to take part in this activity

 

DISCLAIMERS

 

I acknowledge that those guiding Club rides are only doing so for purposes of navigation and are not qualified nor are holding themselves out as qualified to judge the suitability of the route for a rider of my ability or for the cycle and other equipment which I am using. It is my responsibility to always ride within my own capabilities and to be responsible for my own well-being and for the suitability and condition of the cycle and other equipment which I am using.

 

Neither the Club nor its Officers shall be liable for any personal injury, death, or property damage sustained by me whilst involved with Club activities, except insofar as it can be shown that this has arisen from the willful act, neglect or default of the Club or its Officers. I acknowledge and agree that my membership of the Club does not create any relationship between me and the Club or its Officers such as might give rise to rights of action for personal injury, death or property damage beyond those identified in the preceding sentence. I further acknowledge and agree that members of the Club are not employees, agents or other representatives of the Club and that therefore I cannot and will not seek to hold the Club or its officers liable for the actions of other members

 

 

SIGNED   ..............................................................     Date  ............................................

 

 

PARENTAL/GUARDIAN PERMISSION – to be signed for all riders under the age of 18 years and for vulnerable adults

 

 

 

(a) I have read, understood and accept the Club Rules, Fitness Declaration, Disclaimer and ‘Under 18 Policy’ and have explained these to THEM.

(b) I have completed and attached the Parent/Guardian Consent Form.

(c) I confirm that my son/daughter does not have any disability or medical condition that could affect his/her ability to take part in Club activities.

(d) I confirm that my son/daughter is sufficiently competent to take part in Club activities.

 

NAME : ……………………………………………………………………………….

 

RELATIONSHIP:

 

SIGNED .................................................................................

 

Date ..............................................