NSCR Membership Form
Instructor  Membership

*Name:
 Address:

 Tel:					Mobile:

 Fax:					E-mail:

*Work Place Club -	Name:
Address: 
 

			Tel:
			Studio co-ordinator:
			
No. of classes per week:
Level of classes (if applicable):
		   
 Studio Cycling Course & Date You Attended:
*Only these details will be placed on the website www.internet-spinoffs.com
 
 Background details for our records only

 Other Clubs where you teach:

 Other Qualifications:

 Are you interested in attending an upgrade/refresher course? (see list enclosed)   Yes/No
 Or another Phase of Studio Cycling training: Yes / No
 Please state Phase number 1 > 3:			

Address for future correspondence to be sent:

I enclose a cheque for  £20.00 made payable to: NSCR

Signature:  				Date:

Please let us know if any of these details change.
NATIONAL STUDIO CYCLING REGISTER (NSCR)
P.O.Box 610, High Wycombe, Bucks. HP10 ORE







Disclaimer
Associate and Full Members of the National Studio Cycling Register agree they will in no way hold the instructors,   organisers, sponsors or anyone connected in anyway to the NSCR liable for accident, injury, illness, loss or damage to person or property that may arise directly or indirectly from being a member. They promise not to seek to penalise, prosecute or claim compensation from the organisers, sponsors, lecturers or participants of the NSCR for any injury, loss or damage. Anyone who does not agree to this must in writing, ask to be removed from the associate and full membership NSCR data base.