Annual membership form 2017

Annual memberships are due by 1st May 2017. Any member who comes into a British Cycling youth category will join Lee Valley Youth and anyone with a Junior and adult category will be enrolled into Lee Valley Velo. 

A family membership can cover both clubs i.e. youths in LVYCC and juniors/adults in LVV

Cost is £15 per person.

You can now pay on line using the following bank account:

Sort code 60 05 13

Account 89493176

Use family name as reference.

You can post your cheque to our Club Secretary put your family name on the reverse :

Bob Griffiths, 42 Manston Way, Hornchurch, Essex, RM12 5PE

This form will be used for the electronic capture of our members details.
Lee Valley Youth Cycling Club Membership Form
Please provide us with the details below. We will hold this information for a short period of time on our online database. Once we have all of the information we require to complete the membership process this will be removed. We will only keep data which is relavent to our member and will not pass this on to third parties In line with information commissioners rules.
Please enter your last name of the lead member. If you wish to add another contact you will be given the opportunity later in the form.
Please add a telephone number in case we have to make contact with you.
If you wish to use the cycling facilities for example watt bikes, you will need to be a member.
About the youth member
Please fill in the details below which will give us the information required to complete the membership process. you will be able list up to three youth members.
If you have the rides BC number please add here
Please select year of Birth
Please inform us of any medical conditions which may effect this member when riding in our club. We will ask you what the issues are and mark this on the hard copy of the application form.
If you wish to receive our newsletters please add your address here
Second Youth Member
Please add details of other youth member please ensure that you fill in all of the details.
Please add any additional family members
Please let medical conditions which may effect this member when riding in our club. We will ask you what the issues are and mark this on the hard copy of the application form.
Third Youth Member
Please add details of other youth member please ensure that you fill in all of the details.
Please add any additional family members
Please let us know of medical conditions which may effect this member when riding in our club. We will ask you what the issues are and mark this on the hard copy of the application form.
Further Adult Contact information
Please add details of other adult members or contacts please ensure that you fill in all of the details.
Additional Adult
Please add any additional family members
If you wish to use the cycling facilities for example watt bikes, you will need to be a member.