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Account Sign up

If you have ever previously entered one of our events (coaching/track day/race) then you will already be in the system. Do not create another account. Email secretary@goldcoastcyclingclub.com.au with your Name, Email Address and Phone number and your account login will be emailed back to you.

First Name :
Last Name :
Email :
Username :
Password :
Retype Password :
Date of Birth :
Gender :
Phone :
Fax :
Mobile :
Address Line 1 :
Address Line 2 :
Suburb :
State :
Post Code :
Next Of Kin :
Next Of Kin Phone :
AusCycling Licence :
Licence Type :
Licence Expiry :

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