Northumbrian Mountaineering Club (NMC) Membership Application (Full)

Applicant's Details

Please provide the following information for club records. This information will be used for club purposes only and be shared with the British Mountaineering Council (BMC) and no other third parties. For any Yes/No questions, please check the appropriate response.

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* 1. Please provide your contact details

Full Name:

Address 1:

Address 2:

City/Town:

County:

Post Code:

Email Address:

Preferred Contact Number(s):

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* 2. By default, your contact details will be included in the Members' Handbook which is published in March each year and distributed to all club members. If you wish to exclude information, please indicate below.

	Yes
Exclude address from handbook?	Exclude address from handbook? Yes
Exclude mobile number from handbook?	Exclude mobile number from handbook? Yes
Exclude phone number from handbook?	Exclude phone number from handbook? Yes
Exclude email address from handbook?	Exclude email address from handbook? Yes

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* 3. Date of Birth. If under 18 then we will provide you with the club's Under 18 policy.

Date of Birth

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* 4. Are you a student in full time education?

Yes

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* 5. Climbing Experience

	No	Yes
Can you safely and competently belay and lower a top-roped climber?	Can you safely and competently belay and lower a top-roped climber? No	Can you safely and competently belay and lower a top-roped climber? Yes

Briefly describe your experience and typical grades climbed

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* 6. Provide the names of two existing club members who confirm that you can climb and belay safely and recommend to the NMC Committee that they approve your application for full membership of the NMC.

Proposed by

Seconded by

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* 7. Confirm that you have read and accept our Participation Statement:
The NMC recognises that climbing, hill walking and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.
If you are completing this form on behalf of someone else, you are confirming that they have read and accept the above participation statement.

Yes

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* 8. Thank you for completing this membership application form!
If you have not already done so, please now visit the Go Cardless web site (address below) where you need to authorise the NMC to take payment for membership; this is a very efficient, safe and proven method which means that future payments to upgrade membership or renew annually can be managed seamlessly. As with any direct debit scheme, notice will be given prior to taking any payment and anyone signing up to the scheme can withdraw at any time.
Once done, payment for full membership will be processed. £23 for those joining directly as full members, £15 for Students/Under 18s or the difference from Prospective membership already paid if upgrading, though this may be calculated pro-rata depending on the time of year application is made. Contact the Membership Secretary (membership@thenmc.org.uk) with any queries.

https://dashboard.gocardless.com/api/paylinks/0872P9H93J

I have (re) authorised payment via Go Cardless

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