MEMBERSHIP APPLICATION FORM

SURNAME …………………………………………………………………

FIRST NAME(S) ……………………………………………………………

FULL POSTAL ADDRESS …………………………………………………

…………………………………………………

POSTCODE …………………………………………

TELEPHONE NUMBER ……………………………………………………

E-MAIL ADDRESS …………………………………………………………

I AM/AM NOT UNDER 18 YEARS OF AGE (DELETE AS APPLICABLE)

DATE OF BIRTH IF UNDER 18 ……………………………………………

ACU AFFILIATED CLUB …………………………………………………..

(As stated on ACU Licence application form)

ACU AFFILIATION NUMBER ……………………………………………..

N.B. You must apply direct to the ACU for registration and competition licence

RIDER’S SIGNATURE ………………………………………………………

PARENTS SIGNATURE (IF UNDER 18) …………………………………..

Please return together with your membership fee of £5 with you first competition entry form, cheque payable to Huddersfield Falcon MCC and send to Sue Painting, 2 The Close, Clayton West, Huddersfield HD8 9QW

GENERAL

Details of all Huddersfield Falcon trials will appear in T&MX News and full details of fixture list, entry form and regulations are available on the Club website www.falconmcc.co.uk. Club policy is that under no circumstances do we accept telephone entries or entries on the day of the trial. Members must agree not to return to any Huddersfield Falcon venue for practice purposes. Club meetings are normally held on the first Wednesday of each month at the The Star, Fenay Bridge, Huddersfield at 8.30 pm.