Application for Membership 2016

St Ives Cycling Club encourages active participation in all forms of cycling and organises a number of events to provide opportunities for competition. To qualify for Standard Membership of St Ives CC in 2016 you must meet at least one of the following requirements:

•be a new member

•have assisted at two open events or 3 evening time trialsduring 2015

•be a committee member for 2016 (or be assisting running the club with committee approval e.g. Go-Ride coaches)

•have organised an event on behalf of St Ives CC during 2015 (including Go-Ride)

•be a Life or Honorary member

Members who joined after June 2015 must have supported the club on at least one occasion. Members under the age of eighteen are not required to assist at events in order to maintain their Standard Membership.

PLEASE INDICATE ON PAGE 3HOW YOU WILL ACTIVELY SUPPORT

THE CLUB DURING 2016 AND DETAILS OF 2015 MARSHALLING

Membership Benefits

All members will receive the following benefits in 2016:

  • Entitlement to participate and compete in all club events and activities
  • Discount at Grafham Cycles - 15% on bikes/frames and 20% on clothing/accessories.
  • For 1st Claim Members Only:
  • Entitlement to enter open events as a St Ives CC member
  • Entitlement to wear the club kit in competition
  • Eligibility for the club win bonus scheme - 2016 rules TBC

Membership Fees

Category / Standard Membership Fee / Membership fee for non-active members
Adult (aged 18 and over) / £15 / £50
Adult 2nd Claim / £8 / £20
Family / £20 / £60
Youth (aged 13-18) / £8 / £8
Junior (aged 12 and under ) / £4 / £4
Life/Honorary Members / Free / Free

*Age is taken as at 1st January 2016

All Adultor Family members re-joining from previous years who do not qualifyfor Standard Membership in 2016 should pay the Non-active Fee. All other members and new membersshould pay the Standard Membership Fee.

New members joining after June 1st2016 will pay half fees for the remainder of 2016.

New members joining after October 1st2016 will pay the full fee and become members through to the end of 2017.

Application Form 2016

Membership: Please send application formand club participation 2015/16 form to: / Membership Fees: Please pay the correct fee by:
Post: Donna Hime, 9 Willow Green, Needingworth, PE27 4SW / Cheque: Payable to St Ives CC
Email: (Scanned, Signed copies) / Bank Transfer: Barclays Bank – St Ives CC
Sort: 20.43.63 A/C 60774626(Mark as “Membership”)

Membership payment £………………….

Main Applicant Details / Name
Membership Type / Adult  Family  Youth  Junior  2nd Claim  Life/Hon 
Address Line 1
Address Line 2
Town
Postcode
Email Address
Tel. / Mobile
DOB / Gender
Main Club / (for 2nd Claim only)
Name / DOB / Gender
Additional Family Members / Spouse
Child 1
Child 2
Child 3
Child 4

To be signed by Parent or Guardian if main applicant is under 18:

I acknowledge that I have been advised as to the nature of St Ives CC club activities (via the web site, or by a committee member). I understand and agree that my son/daughter participate in club activities entirely at their own risk, that they must rely on their own ability in dealing with all hazards and that they must ride in a manner which is safe for themselves and all others. I agree that no liability whatsoever shall be attached to St Ives CC, its officials, or other members in respect of any injury, loss or damage suffered by my son/daughter however caused. I am satisfied that my son/daughter is sufficiently responsible and experienced to assume full and entire responsibility for his/her own safety whilst engaged in club activities on the public highway.

Signed / Date

To be signed by Main Applicant:

I acknowledge that I have been advised as to the nature of St Ives CC club activities (via the web site, or by a committee member). I understand and agree that I participate in club activities 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 for myself and all others. I agree that no liability whatsoever shall be attached to St Ives CC, its officials, or other members in respect of any injury, loss or damage suffered by me however caused.

Signed / Date

(Pleasereturn this form with your application)

Club Participation 2015

Activity (please select from the following) Tick which events you helped at: / Tick
I was a Life or Honorary Member in 2015 / 
I was a committee member or I assisted to run the club with committee approval in 2015 / 
I organised an event on behalf of the club in 2015 / 
I marshalled or assisted at the following events in 2015
April - September / Club Evening Time Trials – Wed evenings
(Please indicate how many events you assisted at) / 
Sat 18th April / St Ives 10m TT Open on N1/10 / 
May (Date TBC) / NCRA 2/3/4 Scratch race / 
Sat 11th July / ERYCS Youth Road Race / 
Wed 9th September / Dave Nelson Memorial Hill Climb / 
Sun 20th September / LVRC Percy Stallard Series RR / 
Sunday 1st November / Eastern League CycloCross / 
I am a new member / 

Club Participation 2016

St Ives CC relies on the support of its members to operate effectively. Please use this section of the form to indicate how you intend to support the club in 2016 and return it with your membership form:

Adult and Family members only

Activity (please select from the following) / Tick
I am a Life or Honorary Member / 
I am a committee member or I am assisting to run the club with committee approval in 2016 / 
I am organising an Event on behalf of the club in 2016 / 
I will Marshall or Assist at the following Events Event Organiser
April - September / Club Evening Time Trials (3 events) Dave Pope / 
16thApril / St Ives 10m TT Open on N1/10 Dave Pope / 
8th May / 3/4 Road Race Jack Burgin / 
June/July (TBC) / NCRA Road Race Tom Caldwell / 
July (TBC) / ERYCS Youth Road Race Mike Hoy / 
7thSeptember / Dave Nelson Memorial Hill Climb Dave Pope / 
18thSeptember / LVRC Percy Stallard Series RR Andy Wylde / 
Nov (TBC) / Eastern League CycloCross Lee Desborough / 

Dates for the events that are marked TBC will be confirmed as soon as possible.

If you can’t make an Event that you select today, it is your responsibility to let the organiser know AND to nominate a replacement Event by emailing

Are you a qualified first aider? YES/NO

Finally, THANK YOU for your continued support of St Ives CC