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Membership/ Renewal Form
WELLINGTON ROAD CYCLING CLUB INCORPORATED
FOR SEASON 2026-27 to 31 JULY 2027
Please note:
Two Membership options:
Adult (19+)
Youth (13+)
For more information see below
First name
Last name
Email
Phone
Birthday
Day
Month
Year
Multi-line address
Country/Region
Address
City
Zip / Postal code
Medical Information
Emergency Contact Name
Emergency Contact Phone Number
Additional Information
Conditions of Membership
*
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 Veterans Cylcing Club - 02-0610-0084838-000 - and yes, the spelling mistake is part of the account name).
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.
membership 2026-2027 (finishes 31 July 2027)
Adult : 19 Years +
$100
Youth: 13-18years
$50
Signature
*
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