First Name*
Last Name*
E-mail
Phone Number
House name/number
Street name
Parish
Island
Post code
Birth Date
Type of membership* Standard MembershipJunior MembershipOverseas MembershipSocial/Non-Competing Member
Joint Member 1 - First Name
Joint Member 1 - Last Name
Joint Member 2 - First Name
Joint Member 2 - Last Name
Joint Member 3 - First Name
Joint Member 3 - Last Name
Car/Bike make
Car/Bike model
Car/Bike CC
Car/Bike Year
Preferred race number
Please enter the name of the member proposing you at committee. If you do not have a club member who can propose you, please email the club president Nick Wood at nickwood87@me.com & he will help with this process.
Proposer First Name
Proposer Last Name
Choose your Membership StatusI am a new member & have put my proposers name down - or emailed the club president on this matter.I was a member of CVMRC last Year
Notes
Photography The Club may arrange for photographs or videos to be taken of Club activities and published on our website or social media channels to promote the Club. If you consent to these being used in this way, please tick the relevant box below. If you have a family membership, any members 18 and over should email hellocvmrc@hotmail.com to give consent to use of their image separately. If you are a parent or guardian of children on your membership who are under 18 if you consent to your child's image being used for the purposes above, please also email hellocvmrc@hotmail.com to give consent to use of their image separately. Please be aware that if you/the individuals listed above later wish to withdraw consent, please contact the Club Secretary. By agreeing to your images being used, you agree to assign any right of ownership in those images to the Club.
Yes, I agree with the above.
Data protection: The information you provide in this form will be used solely for dealing with you as a member of The Classic Vintage & Modern Racing Club of Jersey. Your data (name, address, phone number and email address) will be stored confidentially in accordance with current guidelines. The Club will publish a newsletter on a quarterly basis which is available to all members, in electronic version. Also any additional information which may need to be sent to keep members informed of all events and meetings etc. If you consent to your data being used in this way, please tick the relevant box below.
