I am applying for or renewing my membership of the Wellington Road Cycling Club Incorporated (the Club) for the 2026-27 season (i.e. to 31 July 2027) and confirm that I meet the age requirement (I will be 13 years of age or older on 31 December 2027.

I confirm that I will pay the membership fee of $100 for 19 plus year olds or $50 for 13-18 year olds to the Club’s bank account Wellington Road Cycling Club - 02-0610-0084838-000

I confirm that I will purchase a Cycling New Zealand Sport Membership for 2026 and identify myself as a member of the Club when I do that. Option 3

I consent to the Club maintaining electronic details of my membership for administrative purposes and to comply with the Incorporated Societies Act 2022. I do not give consent to these details being given to any other organisation or being made public.