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    NP BMX Club Membership Application 2019

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    This document is a membership application form for the New Plymouth BMX Club for the 2019 season. It requires applicants to provide personal details like name, date of birth, contact information. It also requires selection of a BMX New Zealand license level and payment of associated fees. The form outlines responsibilities and expectations of club membership, including a requirement to volunteer and assist with activities like registration, shop duties, marshalling or other areas.

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    NP BMX Club Membership Application 2019

    Uploaded by

    api-244757043
    203 views2 pages
    This document is a membership application form for the New Plymouth BMX Club for the 2019 season. It requires applicants to provide personal details like name, date of birth, contact information. It also requires selection of a BMX New Zealand license level and payment of associated fees. The form outlines responsibilities and expectations of club membership, including a requirement to volunteer and assist with activities like registration, shop duties, marshalling or other areas.

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    This document is a membership application form for the New Plymouth BMX Club for the 2019 season. It requires applicants to provide personal details like name, date of birth, contact information. It also requires selection of a BMX New Zealand license level and payment of associated fees. The form outlines responsibilities and expectations of club membership, including a requirement to volunteer and assist with activities like registration, shop duties, marshalling or other areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    203 views2 pages

    NP BMX Club Membership Application 2019

    Uploaded by

    api-244757043
    This document is a membership application form for the New Plymouth BMX Club for the 2019 season. It requires applicants to provide personal details like name, date of birth, contact information. It also requires selection of a BMX New Zealand license level and payment of associated fees. The form outlines responsibilities and expectations of club membership, including a requirement to volunteer and assist with activities like registration, shop duties, marshalling or other areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NEW PLYMOUTH BMX CLUB MEMBERSHIP APPLICATION – 2019 SEASON

    BMX NZ LICENCE PERIOD: 1 January 2019 to 31 December 2019


    This form MUST be accompanied by a BMX NZ “APPLICATION FOR RACING LICENCE” All riders need to be licensed with BMX NZ.
    It is a requirement for our club to be affiliated to BMX NZ.

    DATE OF RACE BMX NZ FEES (please tick)


    FAMILY NAME FIRST NAME M/F $$$
    BIRTH PLATE # STRIDER $5 REGIONAL $25 SPROCKET $45 CHALLENGE $70






    NEW PLYMOUTH BMX CLUB FEES - 1 Member $30 - 2 Members $40 - 3+ Members $50
    TOTAL
    SPROCKET: For Riders aged UCI 5 and under. May only ride a strider bike – no pedals allowed.
    REGIONAL: For Riders aged UCI 8 and over. Provides New Plymouth and Hawera club day racing ONLY
    SPROCKET: For Riders aged UCI 7 and under. Provides New Plymouth club day racing, Interclub racing. Able to race at any event on the BMX NZ calendar.
    CHALLENGE: For Riders aged UCI 8 and over. Provides New Plymouth club day racing, Interclub racing. Able to race at any event on the BMX NZ calendar.

    New Plymouth BMX Bank Account:


    15-3953-0415516-00
    Payment of fees does not constitute membership of the New Plymouth BMX Club. The club committee will vote on accepting this application.
    If membership is rejected, fees will be refunded in full.

    Any medical or safety issues that we should be aware of when running training and race meets?

    I give permission for my, or my child/children’s, name and photo to be used for publicity purposes. YES / NO (please circle)

    Disclaimer: The New Plymouth BMX Club accepts no responsibility whatsoever for damage or injury of any nature to a person or property whilst participating in
    any activity or within the confines of the New Plymouth BMX track.
    Contact Details: For members under the age of 16, this section is to be completed by their parent/guardian.

    Name: Address:

    Home phone: Mobile phone: Email address:

    In signing this form, the Rider or in the case of a Rider under 16 years, their Parent or Guardian, hereby acknowledge that they have read and understand the nature and effect of the
    disclaimer and agree to abide with all rules, codes and instructions as provided or established by BMX NZ or the New Plymouth BMX Club.

    Signature: Please print name: Date:



    Emergency contacts: (Please provide two emergency contacts)

    Name Phone number(s) Relationship

    Home: Mobile:

    Name Phone number(s) Relationship

    Home: Mobile:

    Club Assistance – please note that our club operates on volunteer assistance, please indicate at least two areas where you can help.

    I am able to assist with the following:


    Do you have experience in:
    Registration Be there by 5.15pm; Register all riders, take entries, club fees, record points for each race on club night, ensure no one is standing Yes
    in front of points shed when racing on

    Gate Starter Be there by 5.45pm; Set up Start Gate & Lights; Start Gate Practice at 5.45pm; Start each race once all riders have got to last corner Yes
    on track; put Start gate and lights away at the conclusion of racing
    Shop Be there by 5.30pm; Take orders for hot food prior to racing starting; Ensure lollies, drinks and food is full; Serve in shop; Pack Yes
    everything away; Wash utensils and surfaces

    Callup Be there by 5.50pm; Collect call up sheets from points shed; Stand at bottom of start ramp and give each rider their lane for the Yes
    moto they are in; there should be two motos up the ramp at all times
    Hire Hut Be there at 5.15pm, ensure Loan Bikes Container is unlocked; put Hi Vis vest on so new people know who you are; serve people Yes
    wanting to hire bikes/gear; fill in the Loan Bike whiteboard with all rider/bike details, ensure all bikes/gear have been returned at
    end of night
    Marshalling Be there by 5.50pm; Get a Hi Vis Vest from the hire hut and Yellow/Green Flag; ensure you are on the track in marshall position Yes
    before practice starts. Raise yellow flag when rider is down - assist rider if required; Raise Green Flag once all riders from a moto
    are past 4th corner; Help any rider that has fallen off; Return flags and hi vis vests to points shed at conclusion of club night


    Amount paid Date Cash/Cheque/Bank deposit Application sent to BMX NZ Licence received:

    Entered on database Entered in email contacts Entered in mobile contacts Entered in assistance list

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