ࡱ> CfDOh+'0 $0 P \ h tFNTL Rider RegistrationdavidfFNTL Registration Formdavidf5Microsoft Office Word@ԭ@?@n|@I%\ ՜.+,D՜.+,X hp  halesowencycling.netB)X  FNTL Rider Registration Title 8@ _PID_HLINKSA|*!mailto:fntl@halesowencycling.netOh+'0 $0 P \ h tFNTL Rider RegistrationdavidfFNTL Registration Formdavidf5Microsoft Office Word@ԭ@?@n|@I%\ FNTL use only Cat Paid Number FNTL@halesowen I agree to abide by the Bye Laws and Technical Regulations of British Cycling, and understand and agree that I participate in this race entirely at my own risk, that I must rely on my own ability in dealing with all hazards, and that I must ride in a manner which is safe to myself and others. I am aware that when riding on a public highway the function of marshals is only to indicate direction and that I must decide whether the movement is safe. I agree that no liability whatsoever shall attach to the promoter, promoting club, race sponsor, British Cycling or any race official or member of British Cycling or member of the promoting club in respect of any injury, loss or damage suffered by me in or by reason of the race, however caused. I will participate in cycling competitions or events in a loyal or sporting manner. I will submit to disciplinary measures taken against me and will take any appeals and litigation to the authorities provided for in the Regulations. Subject to that reservation, I shall submit to any dispute that may arise exclusively to the courts. Should I be required to participate in any anti doping control test under British Cycling regulations, I shall agree to submit to those tests. I agree that the results of the analysis to be released to the public and communicated in detail to my Club/Team or to my coach or Doctor. I undertake to submit any objections concerning drug abuse to the British Cycling Executive Board/ Appeals Panel, whose decision I shall accept as final. I accept that all urine samples taken become the property of British Cycling and that they may have them analysed, notably for the purposes of research and information on health protection. I agree to my doctor/or the doctor of my club/Team communicating to British Cycling, on its request, the list of medicines I have taken and treatment I have undergone before any given competition or cycling event. I have read and agree to abide by the above declarations. Your details Club/Team  FORMTEXT daaa First name:  FORMTEXT Dbhvgc Surname:  FORMTEXT Bv Address 1:  FORMTEXT Home address Address 2:  FORMTEXT Home address Address 3:  FORMTEXT Home address Address 4:  FORMTEXT Home address Address 4:  FORMTEXT Home address Postcode  FORMTEXT AB12 3CD E-mail address  FORMTEXT fntl1@halesowencycling.net Date of Birth  FORMTEXT 01/01/1950 Sex.  FORMDROPDOWN  Veloriders username  FORMTEXT       Halesowencycling.net username  FORMTEXT       League registration BC licence No.  FORMTEXT 412345 BC Licence cat.  FORMDROPDOWN  BC age cat.  FORMDROPDOWN  Select your FNTL League Category  FORMDROPDOWN  Please note Halesowen Cycling members benefit from a 2 discount on the registration fee. I am a full member of Halesowen A & CC Cycling Section.  FORMCHECKBOX  I agree to abide both by the regulations of the League and of British Cycling Signed: Date: Copies of the League regulations are available from the organiser on request and at www.halesowencycling.net To register, please save this form and e-mail it to  HYPERLINK "mailto:fntl@halesowencycling.net" fntl@halesowencycling.net. In Word, use File>Send to>Mail Recipient (as Attachment). Your registration payment and entry will be fast tracked on the first nights racing. Alternatively, print this form and send it with your registration fee to Geoff Dingley, 58 Fordhouse Road, Bromsgrove, Worcestershire B60 2LN. Telephone 01527 871687. 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