Tasmanian Moto Trials Club
Tasmania's only motorcycle trials club
WARNING! Motorsport can be dangerous!
Is this a new membership or a renewal? ---New membershipRenewal
All fields are required
Select membership type Note: 72 hr choices are for non TMTC Members entering the 2021 Tasmanian Two Day Titles ---Family ($60)Full ($45)Junior (<16yo, $15)72 hour family ($30)72 hour full ($20)72 hour junior (<16yo) or minder ($10)
Please select how many additional family members you are signing up: ---1234
I, (enter name) of Address Town/city Postcode Email address Phone number Bike details Hereby apply for membership of the Tasmanian Motorcycle Trials Club (inc.), hereafter referred to as the Club, and if accepted by the Club hereby agree: (a) To be bound by the Clubs Constitution, abide by its rules and regulations, and directions of its officers. (b) To absolve the Club, its Officials, Office Bearers and Members from any liability whatever that may arise. (c) That I am aware that Motorcycle Sport can be dangerous and that I could be injured or killed, and that my motorcycle and related equipment may be damaged, destroyed or stolen.
Date of birth:
Additional family member details Name: Bike details: Date of birth:
Name: Bike details: Date of birth:
Is this rider, or any rider entered as part of a family, under 18 years of age? ---YesNo
I ---HAVEHAVE NOT had a medical check in the last year ---ANDBUT know that I am in full control of my body and am able to control my machine.
Please state any medical conditions or allergies:
Signature of applicant
Date
Parent or guardian permission for rider under 18 years of age
I, (enter name) of Address Town/city Postcode being the ---parentguardian of the Applicant acknowledge the conditions of membership and verify the information supplied by the applicant and permit him/her to join the Club and participate in its activities without prejudice to the Club, and absolving the Club, its organisers, members and Officials from any responsibility for him/her.
Are you paying by direct deposit or cash on the day? ---Direct depositPay on the day
Please pay amount owing to: Tasmanian Motorcycle Trials Club BSB: 632001 Acc: 100107065 Bank: Bank of Us Deposit must include: 1. Payee: TMTC 2. Your name 3. Message: TMTC Membership