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CRMCC
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CRMCC – Trial Membership Form
Personal Details
First Name
(required)
Last Name
(required)
DOB
(required)
Email
(required)
Phone
(required)
Address
(required)
Suburb
(required)
State
(required)
Postcode
(required)
Emergency Contact Details
Contact Name
(required)
Phone
(required)
Trial Ride Details
Date of Trial Ride
(required)
Preferred Grade
Select one option
A Grade
B Grade
C Grade
D Grade
E Grade
F Grade
G Grade
Not sure
Trial ride will be with CAPITAL REGION MASTERS CYCLING CLUB
(required)
Conditions
I agree to the terms and condition for participating in a trial ride with an AVCC affiliated club.
(required)
I acknowledge that the AVCC will store the personal details submitted on this form as a record of my participation in a trial ride with an AVCC affiliated club.
(required)
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The Bleat (latest news)
Capital Region Masters – Weekly Bleat, Monday 20th March, 2023
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Capital Region Masters – Weekly Bleat, Monday 20th February, 2023
February 20, 2023
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