Essex Trials and Jump Centre

Name:

Address:

Date of Birth:

E-mail address:

Telephone No.

·        I wish to apply for membership of The Essex Trials and Jump Centre (ETJC) for one year from the date of this application.

·        I agree to abide by the Site Rules and Regulations of ETJC, as displayed at the Centre.

·        I have paid the Membership fee of ……………………………………..

       Cheques payable to Radical Bikes C.I.C. - Thank you!

Signed:

(by Applicant or Parent/Guardian if under 18 years of age)

Dated:

The Essex Trials and Jump Centre will use the above information to contact you in the future for renewal of your membership.