If the member joining is under 18, please ask a parent or guardian to complete this form on their behalf.

Who are you applying for? *

Myself — I am 18 or over

A child or young person — I am their parent or guardian

Applicant relationship

What membership is the first member applying for? *

Racing membership

Supporter membership

Not sure — please advise me

First member membership

First Name *

Last Name *

Date of birth *

Applicant DOB

Email *

Mobile number *

Mobile number

Address

Street Address

City

Postcode *

Young member's first name *

Young member first name

Young member's surname *

Young member surname

Young member's Date of Birth *

Young member DOB

Does the young member live at the same address as you? *

Yes - same address

No - different address

Young member same address

Guardian Supporter Membership

Yes — register me as a Supporter member

Young member's address line 1 *

Young member's address line 2

Young member's town or city *

Young member's postcode *

BRCA membership number

Adding other family members? *

Yes

Family member 2 - first name

Family member 2 - surname

Family member 2 - relationship to primary applicant

Family member 2 - membership type

Racing membership

Supporter membership

Not sure - please advise me

Any further family members?

I confirm the information provided is accurate and I agree to the WLRC Membership Terms (https://beta.wlrc.co.uk/membership-terms) and Privacy Notice (https://beta.wlrc.co.uk/privacy-notice) *

I confirm the information provided is accurate and I agree to the WLRC Membership Terms (https://beta.wlrc.co.uk/membership-terms) and Privacy Notice (https://beta.wlrc.co.uk/privacy-notice)

Guardian consent *

As the parent or legal guardian of the young person named above, I give my consent for them to become a member of West London Racing Centre and take part in club activities