Western Titans BMX Race Club - Member Record Request

Please fill in the form below to register your interest in joining Western Titans BMX Race Club. Your member record will then be created on our system.

Western Titans BMX Race Club use Coacha to manage and administer our club admin. All of your information is securely locked up in the cloud. Please try to ensure all information is correct and accurately entered.

Student / Athlete / Member Information


NOTE: Please enter parent or NOK email address for this minor in the NOK/Emergency contact section below

Next of Kin / Parent / Guardian Information

Medical Information

Any injuries, allergies, disabilities, illnesses or relevant health concerns your coaches should know about?

I confirm that the above information is correct to the best of my knowledge and that I hereby provided agreement for this information to be stored in Coacha's databases.

For Coacha terms and conditions click here.

For Western Titans BMX Race Club's waiver forms and other club information please download/view the documents below:

Code of Conduct for Parents and Carers.pdf

Code of conduct for Riders.pdf

Social Media Guidelines.pdf

Data Protection & Use

Data protection best practice requires you/your child to opt in for the above club to use your data. You must update your preferences on the following options.
(Note: without the first two options ticked, you (or your child) cannot be added to Coacha).