West Sussex Caving Club

 

 

 

 

Please print & return  this form (with  Section 2 ware applicable) to the club secretary
For return address please e-mail  paul@westsussexcavingclub.com
Sorry this can not be done electronically at present.

All cheques should be made payable to ‘West Sussex Scout Caving’ (until an alternative A/C is available)

I hereby apply for the membership of the West Sussex Cave Club and agree to be bound by the clubs Constitution and rules
 

Full Name:-            *
 

Full Address :-      *


 

Date of Birth :-                  *
 

Home Phone Number :-    *
 

Mobile Number :-             *
 

Email :-                             *
 

Have you had a Criminal  Records Burro check in the past please indicate.  Yes or No

*
 
C R B  Number  If you have one           *
 

B C A  Number   If you have one          *
 

Other caving club memberships if any:-    *
 

Emergency Home Contact Name:-          *
 
Emergency Home Contact Address         *


 

Emergency Home Contact Number:- Phone  *
Mobile *
* I enclose £20 for full membership
* I enclose £6 for membership without insurance (if member of another club)

Caving Experience                                      *
Details of caving interests               *
Your Comment. Comments must be short and printable.  *

 

Applicants Signature:-        *

 

The Above application for membership is proposed and seconded by

Proposed  By                                *

 
Seconded By                                *
 
 

For club use

Membership details

Club membership Number

 

BCA membership Number

 

BCA Caving insurance with  (Club)

 

CRB Number  

    Rule 9 of the constitution states;

Every person weather a member or not. Making use of the services of a guide or guides or taking part in any activity or expedition organised by the club or in which any member of the club shall take part, shall do so at his or her own risk, and he/she or his/hers legal representatives or assigns or dependants shall have no claim or right of action against the club or any member thereof in respect any damage, loss or injury sustained, including death, notwithstanding any negligence of the guide or any members of the body of members of the club.  

 

 

West Sussex Caving Club

 

Please Return this form to the Club secretary 
For return address please e-mail
 paul@westsussexcavingclub.com

 

 

 

 

 

 

SECTION 2 FOR PERSONS UNDER 18   

If you are under 18 years of age this application must be countersigned below by your parent or legal guardian

I Parent/ Guardian of ____________________________________________________________

Hereby consent to the above person becoming a member of the West Sussex Cave Club, taking part in its activities and agree to the term of the Constitution.

Signed _____________________________ Print Name _________________________Date ________


Please print this page and return it to club secretary as it can not be done electronically at present.

02 February, 2008