Go Ride 2019 Registration If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Welcome to Go-Ride Coaching Registration. We're now going to take some details of you and your child . If you’ve any questions about Go Ride coaching or any other aspect of the Club email us: firstname.lastname@example.org Series * Which Go-Ride series are you registering for? SpringSummerAutumn Membership * Is your child a current VC Venta Club member? YesNo If your child isn't already a member by completing this application and paying the Go-Ride coaching fee they're automatically eligible for free Club membership. If you're happy for your child to become a Club member using their Go-Ride registration details, check the box below and we'll do the rest. Join them upNo thanks Child's first name * Child's surname * D.O.B * Gender * MaleFemale Address Line 1 * Address Line 2 City/Town * County Post code * Experience * Riders are grouped by ability into Beginners, Intermediate, Experienced and Advanced groups. If your child has had Go-Ride coaching before tell us the group they were in if you remember. BeginnerIntermediateExperiencedAdvanced Can't remember New to Go-Ride Is there anything else you'd like to tell us about your child's cycling experience to help the Go-Ride coaches? Medical information * Please tell us any important medical conditions that our Club should be aware of (e.g. epilepsy, asthma, diabetes, a recent injury etc) and recommended treatment/actions to be taken if symptoms appear. If you have any concerns about your child participating in any form of physical activity then please consult your GP before participating or giving permission for your child to participate in cycling activity sessions. Your first name * Your surname * Relationship to child * Phone (home) Phone (mobile) * Email * Confirm email * We'll use this email address to keep you updated about Go-Ride. Emergency Information Please provide us with some information so we can contact someone in case of an emergency. Contact name * Relationship to child * Emergency phone (home) Emergency phone (mobile) * 2nd Emergency contact name * Relationship to child * Emergency phone (Home) Emergency phone (mobile) * Parent/Guardian Consent I declare I have read the information contained on this form and hereby consent to my child taking part in the Velo Club Venta cycling activities and understand and agree that he/she participates entirely at his/her own risk. I have considered the nature of such activities and have discussed them with him/her. I am satisfied that he/she is sufficiently responsible and competent to assume full and entire responsibility of his/her own safety. I confirm that he/she does not have any disability or medical condition that could affect his/her ability to participate safely in cycling Club activities. By submitting this completed form, I agree to the child named above taking part in the activities of the Club. I understand that I will be kept informed of Club activities. I understand that in the event of any injury or illness all reasonable steps will be taken to contact me, and to deal with that injury/illness appropriately. I understand and have discussed with the child named above that he/she must participate in the Club’s activities in a sporting manner. I understand that if the child named above misbehaves or puts others in danger he/she will be asked to leave the Club. I understand that it is the parent’s/guardian’s responsibility to ensure that the child’s bicycle is in a safe condition to ride. I understand and have discussed with the child named above that a correctly fitting cycling helmet must be worn at all times. Confirmation * Date * By submitting this application you consent to: the processing of your personal data by the Club for the purposes of general Club administration and associated activities the use of photographs of Go-Ride activities that may include your child to promote both the Club and the Club's Go-Ride coaching programme* Your information may also be shared with third party bodies such as British Cycling for administrative purposes. *VC Venta follows the British Cycling guidelines for photography. VC Venta will make every effort to limit shots of riders in the under sixteen categories on its website to images which involve racing or formal training or formal Club, on-the-bike activities. Off-the-bike shots of this age group will be limited to groups of approximately ten riders or more. No off-the-bike individual or small group shots of under-sixteens will be published. The only exception to these guidelines is promotional images, where parental consent has been sought. VC Venta will always remove images from its website upon request, where reasonable. Email email@example.com or firstname.lastname@example.org if you have any concerns over an image on the website.