Membership form

    WARNING! Motorsport can be dangerous!

    Is this a new membership or a renewal?

    All fields are required

    Select membership type
    Note: 72 hr choices are for non TMTC Members entering the 2021 Tasmanian Two Day Titles

    Please select how many additional family members you are signing up:

    I, of






    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:

    Additional family member details
    Name:
    Bike details:
    Date of birth:

    Name:
    Bike details:
    Date of birth:

    Additional family member details
    Name:
    Bike details:
    Date of birth:

    Name:
    Bike details:
    Date of birth:

    Name:
    Bike details:
    Date of birth:

    Additional family member details
    Name:
    Bike details:
    Date of birth:

    Name:
    Bike details:
    Date of birth:

    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?

    I had a medical check in the last year 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, of



    being the 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?

    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