Spring 2014 Track Cycling

Please fill out the form below to register for the 2014 spring track season at Trafalgar Park. You can register up to 3 childen at a time and choose whether to hire a bike for one or more children.

All payment is by bank transfer after you complete this form.  Every child must also be licensed through BikeNZ with a cycling club to ride with Cycling Nelson.

**The receipt sent will show only the first child's costs, please include the fees for any additional children when making payment. We are working to resolve this issue.**

 
1 Start 2 Payment 3 Complete
Parent Details
Best phone number for your emergency contact, preferably a mobile number
  • I/We agree to abide by all the club rules, including the rules, regulations, and bylaws of Cycling New Zealand. (Available from the secretary or on this page)
  • I/We agree to ensure that the bicycle used in this event is in a road worthy condition and the bicycle will be well maintained and in a safe condition.
  • I/We are also aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, and conditions of the track.
  • I/We certify that I am/we are in good physical health and agree that I/we enter this event entirely at our own risk. I hereby waive all claims against the event organisers, their officers, volunteers, employees, sponsors or any other party associated with the event of any liability, financial or otherwise, arising out of negligence or otherwise for any direct or indirect loss, injury or death which might be sustained by me/us from any intended or actual participation in this event or associated activities.
  • I/We also permit the use of my/our name, voice, or picture in any broadcast, advertising, or promotion of this event.
First Child
Novice is for children on smaller bikes or not able to ride on a road bike.
Assigned by Cycling Nelson
If you already have a BikeNZ licence & have your number, please enter it here
Medical condition, special needs etc.