Membership Application

Don't fill this out if you're human:

New Member Renewal

Personal Details

Full name

Date of birth

Gender (optional)

Home address

Phone number

Email address

British Cycling Membership

Not a British Cycling member yet? Leave the number blank — we'll point you in the right direction.

Membership number (or equivalent)

Expiry date (or equivalent)

Claim status

First Claim means Lenzie Velo is your only or main club. Second Claim means you're first claimed elsewhere but riding/racing with us too.

First Claim Second Claim

Emergency Contact

Contact name

Relationship

Contact phone number

Medical Information

Anything a ride leader should know in an emergency — conditions, allergies, medication. Only seen by committee members responsible for rider welfare.

Medical information (optional)

Declaration

I confirm the information given is accurate, and I agree to take part in club rides at my own risk and in accordance with the club's code of conduct.

Signature (type your full name)

Date

Your details are stored securely and used only for club administration — membership records, ride safety, and British Cycling affiliation. Medical information is only accessible to committee members with rider welfare responsibilities. Contact cycle@lenzievelo.co.uk if you'd like your details updated or removed.