New member joining form Please enable JavaScript in your browser to complete this form.About YouName *FirstLastEmail *EmailConfirm EmailMobile number *Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address *Emergency Contact information *Subscription *Please select£25.00 First Year 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 insuranceUse of your image *YesNoPlease confirm you are happy for your name and photograph to appear on our Club website and social media.LayoutNewsletter subscription *YesNoWould you like your email to be added to Mailchimp for the purposes of EGCC newsletter? (You can unsubscribe anytime)Newsletter emailPlease confirm the email address you would like to use for the newsletter. This can be different from your membership contact email.WhatsApp groupsAnnouncements onlyMain chatLadies onlyZwift ridesWould you like to be added to any of our main WhatsApp groups?More infoWe'd love to know more. The following are optional questions.LayoutHow did you hear about the club?Word of mouthWord of mouthAnother sports clubGoogle / other searchFacebookInstagramOtherYour average pace19-20 KPH (12-13 MPH)21-22 KPH (13-14 MPH)22-25 KPH (15-16 MPH)25+ KPH (16+ MPH)What average speed do you feel most comfortable at, over the course of a ride?Have you ridden with a cycling / tri club before?YesNoWhat are you interested in?Saturday club ridesSunday club ridesTTs (Evenings)RacingSummer evening mid-week ridesMid week morning ridesZwift group ridesMTBTrack eventsSocial eventsAudaxPlease select which areas you are interested inClub rules *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.Submit