BEDWORTH
Radio Controlled Car Club


 

 


MEMBERSHIP APPLICATION FORM 2008

 

Name

(If Family membership, list all names with Date of Birth’s for under 18’s)

 

Date of Birth
(if under 18)

/        /

Address
(including postcode)

 

 

 

 

Telephone Number

Home

 

Mobile

 

Email address

 

 

 Tick here if you do not wish to receive news about the club or updates to the website by email.

Do you require BRCA membership?

 Yes     No
(if No, what is your BRCA number?____________)

NB:  All Bedworth RCCC members should have BRCA membership

Frequency crystals (minimum of 3)

 

 

Personal Transponder Number

 

 

Type of membership required
(tick one)

(Fees include £12 BRCA membership)

 Senior
£30

 Junior (under 18)       
£20

 Family (1 Senior + 2 juniors)
£40

If renewing your membership, please complete the following:

Existing Club No:

BRCA Number:

 

Declaration:

I understand that to receive club member benefits, I will be expected to help at all Bedworth race meetings I attend. This may include helping with scrutineering, looking after transponders, putting the track markers out, or doing whatever is required of me by the committee.


Track Maintenance Days
As a club member, I am expected to attend at least one track maintenance day during the year to help with track repairs and improvements.  I understand that if I fail to fulfil this part of being a Bedworth club member, my membership may be revoked without refund.


I also agree to abide by all club rules, and understand that when racing at other tracks, I represent Bedworth RCCC. Anything I do to bring the sport of model car racing or Bedworth RCCC into disrepute will make me answerable to the committee.


Member Signature:……………………  Date:  ……../……../……..   Committee Signature: …………………

 

Completed membership forms, along with appropriate fee can be handed in at Race Control or sent to Bob Burr, 9 Fern Grove, Bedworth, CV12 0GA.  Please make cheques payable to ‘Bedworth RCCC’.

Note, the above fees also include compulsory membership of Bedworth Rugby club.