Youth Membership Form

Members Details

Please enter the details of the person wishing to join Team Darenth
Members – Name:
Gender:

Parent or Guardian and emergency contact details

Name

2nd Parent or Guardian and emergency contact details

If you would like to add a second parent or guardians detail please complete the next section
Name
(If member aged under 18 years Parent or guardian)
(If member aged under 18 years Parent or guardian)
(If member aged under 18 years parrent or guardian)

Medical information and Conent

In this section you will be asked to provide medical information about the member and asked to consent to allow medical treatment
If the person appling for mebership dosen’t have any medical condiditions please complete with “NONE”
If the person appling for mebership dosen’t have any specific needs please complete with “NONE”
If the person appling for mebership take medication on a regular bases please complete with “NONE” Please ensure that you bring adequate supplies of medication and dosage for the duration of the activity
If the person appling for mebership dosen;t have any allergies please complete with “NONE”
MEDICAL CONSENT- In the case of an emergancy. I agree to my Child being given any medical, surgical or dentail treatment, including general anaesthetic and blood transfusion, as considered necessary by the medical authorities present

Disclaimers

As parent /Guardian of the member I accept the there is an inherent risk of injury in participation in cycling activities. Risk can be reduced to acceptable levels by implementing appropriate risk appropriate risk assessment. Copies of written risk assessment are available on request.
As parent /Guardian of the member. I agree that it is my responsibility to ensure that the members bicycles, helmets and clothing are safe to use and in good working order
As parent /Guardian of the member. I agree that it is my responsibility to ensure that the member is suitably dressed and prepared for the activity which is planned for in the weather conditions of the day
As parent /Guardian of the member. I agree that the memeber will have memebrship to British Cyling membership.
As parent /Guardian of the member. I have read, understood and will ensure at the member abides by Team Darenths’s Youth members code of conduct.
Video, photo and sound recordings of the member may be used by Team Darenth to promote the club on its website, in the media and on social media sites. As per the clubs, photo, video and live streaming policy. As parent /Guardian of the member. I give permission for Video, photo and sound recordings of the member to be used?
As parent /Guardian of the member. I have read and understood Team Darenths Privacy policy

Team Darenth’ s Liability Waiver & Participation Agreement

Please read Team Darenth’ s Liability Waiver & Participation Agreement and agree with it to complete your Team Darenth membership.

1. Assumption of Risk

I understand that cycling activities, including training sessions, group rides, off-road riding, races, and skills coaching, involve inherent risks. These may include falls, collisions, mechanical failures, weather conditions, uneven terrain, and other hazards that can result in injury.
I voluntarily choose to allow my child to participate in these activities and accept all associated risks.

2. Responsibility for Personal Safety

I agree that it is my responsibility to ensure that my child
• Rides safely and follows the instructions of coaches, ride leaders, and club volunteers.
• Uses a roadworthy and safe bicycle and wears appropriate safety equipment, including a properly fitted helmet.
• Inform the club of any medical conditions that may affect participation.
• Follow the Highway Code and all relevant laws when riding on public roads.

3. Waiver of Liability

I understand that the club, its coaches, volunteers, committee members, and ride leaders cannot eliminate all risks associated with cycling.
To the fullest extent permitted by law, I agree that Team Darenth Cycling Club, its officers, coaches, volunteers, and members are not liable for any injury, loss, or damage arising from participation in club activities, except where caused by negligence that cannot legally be excluded.

4. Medical Treatment Consent

In the event of an accident or injury, I consent to first-aid being administered and, if necessary, emergency medical treatment. I understand that I am responsible for any resulting medical costs.

5. Insurance

I understand that club activities may be covered by British Cycling insurance only when led by appropriately qualified coaches or Ride Leaders. I accept that some activities may not be covered and participate at my own risk.

6. Agreement

By ticking yes, I confirm that I have read and understood this waiver, and that I accept the terms of participation.

I agree

Parental and Guardians consent

Parental and Guardians consent and agree with it to complete your Team Darenth membership.

I have read and understood the above information provided about the proposed activities and insurance arrangement

I consent to my child taking part in club activities, and, having read the membership application form and relevant policy document, declare my child to be in good health and physically able to participate in any club activities

I will ensure that any changes in the circumstances, personal, illness, medication or injury, which will affect my child’s participation in club activities, will be communicated to the club

I am aware of the levels of insurance cover

I have noted where and when the participants are to be returned, and I understand that I am responsible for my child getting home safely from that place.

By ticking yes, I confirm that I have read and understood this waiver, and that I accept the terms of participation.

I agree