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EAST
KENT SCHOOLBOY SCRAMBLE CLUB
Affiliated to the BRITISH SCHOOLBOY MOTORCYCLE ASSOCIATION (BSMA)
APPLICATION
FOR ANNUAL MEMBERSHIP 2008
Membership subscriptions are renewable on 1st December each year.
The annual membership fee of £40.00 entitles both parents and
all children of each family (or Adult member and immediate family) to the benefits
of the Club, including admission to all events held during the year. Non-riding Members also
welcome.
THE COMMITTEE
RESERVES THE RIGHT TO REFUSE ENTRY.
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Parent
Details (School Person Only)
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Adult Rider
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Name in full |
Name in full |
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Address
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Address
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Post
Code
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Post
Code
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Telephone
No
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Telephone
No
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Occupation
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Occupation
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Relationship
to Rider
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Next
of Kin
Tel No
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RIDER
#1
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RIDER
#2 |
RIDER
#3 |
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Rider's Name |
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Address
(If different
from above)
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Date
of Birth
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Occupation,
if over 16
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Machine
Make & cc
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Class
& Rider No.
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BSMA
Licence No.
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Parent
Club for Licence
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Please
state any other Motocross Clubs you hold membership to:
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DECLARATION:
I agree to make my family members and myself conversant with the rules of
the EKSSC and the governing body, BSMA.
I understand that it is my responsibility to ensure that these rules are
abided by.
I FURTHERMORE
UNDERSTAND THAT I WILL BE REQUIRED TO DO MARSHALLING DUTIES
AS AND WHEN REQUESTED, OR TO PROVIDE A RESPONSIBLE ADULT MARSHALL
(MUST BE 18 YEARS OF AGE OR OVER).
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SIGNATURE
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PRINT
NAME
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DATE
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THE SIGNATORY ON THIS FORM
WILL BE DEEMED TO BE HEAD OF THE FAMILY
Please note: incomplete application forms
will not be accepted. The annual
membership fee of £40.00 must
accompany this application. Cheques made payable to “East
Kent Schoolboy Scramble Club”.
Postal applications should
be sent together with a stamped self addressed envelope to:
COMPETITION
SECRETARY:
Mr
Gary Lane
PO BOX 272
DARTFORD
DA1 9BH
VISIT THE WEBSITE AT HYPERLINK http://www.ekssc.co.uk |