Tribes MCC

Membership Application Form

Name : ________________                     Phone Number:______________

Address :_________________                 Date of Birth: _______________

______________________                    Blood Type :    ___________________

______________________

Allergies/Illnesses: No___    Yes___

Details if Yes________________________________________________

Bike :_____________________              Reg:______________________

I understand that in consideration of the acceptance of this application form that all reasonable care will be taken by the Tribes MCC. The club will not be held personally responsible for any costs regarding loss of life or limb or any other causes beyond the clubs control.

I also agree that my motorcycle will be adequately covered by motor insurance while participating in any event organised by/for the club.

Signature :_________________________                     Date :__________________

Secretary : _________________________                   Date :__________________

Fee Paid______                      T-Shirt Size______