Selected Registration for Motorcycle Officials 2024 Total Price: £0.00 Personal details Title * Select Dr Master Miss Mr Mrs Ms Prof First Name * Last Name * Date of birth * Gender * -Select- Male Female Phone Number * Email * Confirm Email * Address details Postcode * Pick Address * -Select- Address Line 1 * Address Line 2 Town * County * Select Aberdeen City Aberdeenshire Angus Argyll and Bute Avon Bedfordshire Berkshire Berwickshire Buckinghamshire Cambridgeshire Channel Islands Cheshire Clackmannanshire Cleveland Clwyd Cornwall County Antrim County Down County Durham Cumbria Derbyshire Devon Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian District East Renfrewshire East Sussex East Yorkshire Edinburgh City Essex Falkirk Fife Glamorgan Glasgow City Gloucester Gloucestershire Greater Manchester Gwent Gwynedd Hampshire Herefordshire Hertfordshire Highland Humberside Inverclyde Inverness-Shire Isle of Man Isle of Wight Kent Lancashire Leicestershire Lincolnshire London Merseyside Mid Glamorgan Middlesex Midlothian Moray Morayshire Norfolk North Ayrshire North Humberside North Lanarkshire North Yorkshire Northamptonshire Northumberland Nottinghamshire Orkney Islands Overseas - Non Applicable Oxfordshire Perth and Kinross Powys Renfrewshire Roxburghshire Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Glamorgan South Humberside South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Swansea Tyne and Wear Warwickshire West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Western Isles Wiltshire Worcestershire Yorkshire Region * Select Channel Is/IoM East East Midlands London North East North West Overseas Scotland South Central South East South West Wales West Midlands Yorkshire Country * Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, the Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.s. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Equity details Ethnic Group * -Select- Prefer not to say African Arab Bangladeshi Caribbean Chinese Gypsy or Irish Traveller Indian Irish Other Asian background Other Black background Other ethnic group Other multiple ethnic background Other White background Pakistani White and Asian White and Black African White and Black Caribbean White and Chinese White British Religion * -Select- Prefer not to say Any other religion Buddhist Christian (any denomination) Hindu Jewish Muslim No religion or belief. Atheist Sikh Sexual Orientation * -Select- Prefer not to say Asexual Bisexual Gay man Gay or lesbian woman Heterosexual Other Unsure Do you have a disability or long-term condition?* -Select- Prefer not to say No disability Yes - Developmental (e.g. Asperger’s syndrome) Yes - Impairment to the body or brain Yes - Learning differences (e.g. dyslexia) Yes - Mental health conditions (e.g. anxiety) Yes - Organ specific (e.g. IBS) Yes - Progressive (e.g. MS) Yes - Sensory impairment (e.g. hearing/vision) Yes – Conditions with fluctuating or recurring effects (e.g. asthma) Yes – Multiple conditions Yes – Other Why do we collect this information? British Triathlon are committed to the principle of equal opportunities for all involved within the sport of triathlon. To monitor the impact of this and whether this commitment is being reflected in the diversity of our participants, we would like you to complete the following questions. Disclosing information will not affect your treatment within the sport. Your individual responses will not be shared outside of British Triathlon and it’s Home Nations. This information will be used as part of statistical reporting only and trends will be shared with external organisations such as Sport England and UK Sport. For further details please see our privacy notice. Thank you for your support. Experience and Information Driving Licence Details Number of years experience riding motorcycles * -select- 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Number of years driving licence held * -select- 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Driving licence number * Motorcycle Details Make and model of motorcycle * Motorcycle registration number * Cubic capacity of motorcycle * Cc Is a fairing fitted to your motorcycle * -select- Yes No Do you have CB or PMR radio equipment for your motorcycle * -select- Yes No Clothing Technical Polo Shirt Size * -select- Extra Small Small Medium Large Extra Large Extar Extra Large Extra Extra Extra Large Hi-Vis Jacket Size * -select- Small Medium Large Extra Large Extar Extra Large Extra Extra Extra Large Hat Type * -select- Beanie Cap Qualification Previous experience of marshalling * Do you have IAM or RoSPA advanced qualifications * -select- IAM RoSPA Both IAM advanced qualifications name * IAM advanced qualifications date * RoSPA advanced qualifications name * RoSPA advanced qualifications date * Do you have First Aid qualification * -select- Yes No First Aid qualification name * First Aid qualification date * Please state any other relevant qualifications Any other relevant qualifications date Terms and Conditions You have a right to be informed about how your personal data is being used. You can see full information on how we use your personal data within our privacy notice. I agree to the course terms and conditions* Selected Registration for Motorcycle Officials 2024 Total Price: £0.00 Processing ... This can sometimes take up to 45 seconds, so please be patient. If you feel something has gone wrong, please contact [email protected]
