Home
About
Contact
Gallery
Events
Executive Committee
To Join us Please fill in you details
*
Indicates required field
Name
*
First
Last
Date of Birth
*
DD-MM-YYYY
Gender
*
Male
Female
Phone Number
*
T Shirt Ize
*
Small
Medium
Large
Xlarge
XXlarge
XXXlarge
Email
*
Medical Aid Number
*
Emergency Contact
*
First
Last
Cell number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Declaration 1
*
I hereby confirm that I'm not a member any other cycling club affiliated to Botswana Cycling Association
Declaration 2
*
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the abo ve information is found to be false or untrue or misleading or misrepresenting, I am aware that my application maybe rejected.
Submit
Home
About
Contact
Gallery
Events
Executive Committee