Membership Renewal Form Please enable JavaScript in your browser to complete this form.About YouName *FirstLastEmail *EmailConfirm EmailHas your mobile number changed since you joined/last renewed *YesNoMobile number *Has your address changed since you joined/last renewed? *YesNoAddress *Emergency Contact information *All members are asked to ensure their emergency contact information is up to date. Please provide these details, even if you have supplied them previously.Subscription *Please select£25.00 Full Membership£15.00 Second Claim Member£5.00 Juvenile (up to 16 years old) / Junior (up to 18 years old)Second Claim Club namePlease confirm the name of your primary Club. Please bear in mind that to qualify for any of our club competitions then you must enter and ride in East Grinstead CC coloursConsent and additional informationInsurance information *Registered with British CyclingRegistered with Cycling UKInsurance in place elsewhereI have no insurancePlease confirm if you have any cycling / liability insurance. It is STRONGLY recommended that all members have 3rd party and legal protection insurance.More infoWe'd love to know more. The following are optional questions.What is the pace you are most comfortable with?G1: 19-20 KPH (12-13 MPH)G2: 21-22 KPH (13-14 MPH)G3: 22-25 KPH (14-15 MPH)G4: 23-26 KPH (14-16 MPH)G5: 25+ KPH (16+ MPH)What average speed do you feel most comfortable at, over the course of a ride?What have you participated in with the club, this year?Saturday club ridesSunday club ridesTTsSummer evening mid-week ridesZwift club ridesMTBTrack eventsSocial eventsAudaxWhat are you interested in next year?Saturday club ridesSunday club ridesTTs (Evenings)RacingSummer evening mid-week ridesMid week morning ridesZwift club ridesMTBTrack eventsAudaxCyclocross (CX)Social eventsClub Constitution *I agree to the club rules: egcc.net/club-constitution-and-code-of-conduct/Club RulesGDPR Agreement *I consent to my data being used to process my membership request and securely stored whilst I am a member.Bank transfer: East Grinstead Cycling Club, Sort Code 090155, Account 10883702 Please include your name as a referenceSubmit