Membership Form

Please note your application will be reviewed by the YSS and will be deemed as accepted only if approved.

If you would prefer to download a paper application and post via traditional methods please click here.

I hereby agree to abide by the Constitution and other rules of the Society, and all proper decisions made by its Executives and Committee. I understand that breach of these rules may subject me to disciplinary action.

First Name(*)

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Last Name(*)

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Address 1(*)

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Address 2

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Town \ City(*)

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County(*)

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Postcode(*)

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Home phone(*)

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Mobile Phone(*)

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Email(*)

Please specify your email address.

Gender

MaleFemale Invalid Input

Date of Birth

/ / Invalid Input

Type of membership(*)

Single - £16Joint - £24 Invalid Input

Please enter detail for second applicant

First Name(*)

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Last Name(*)

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Mobile Phone(*)

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Email(*)

Please specify your email address.

Gender

MaleFemale Invalid Input

Date of Birth

/ / Invalid Input

1st Applicant Insurance \ BCA application

Please note an insurance form needs completing for each member i.e if you are opting for joint membership you will need to complete two insurance forms.

First Name

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Last Name

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Insurance Category Person 1(*)

I am a caver and wish to be insured for public liability by the Y.S.S. through the scheme managed by BCA (cost £17 plus YSS membership) I am a caver in full time education and wish to be insured for public liability by the Y.S.S. through the scheme managed by BCA (cost £8 plus YSS membership) I am a non caver and wish to be insured for public liability by the Y.S.S. through the scheme managed by BCA (Cost £6 plus YSS membership) I am insured for public liability through the scheme managed by BCA or a scheme recognised by BCA with the following caving club (this will be verified with BCA) and wish to pay YSS membership only Invalid Input

Name of Caving Club(*)

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Previous BCA Number(*)

I have never had a BCA number I have had a BCA number in the past and do not know it I have my 2017 BCA number (please enter below) Invalid Input

My 2016 BCA number was = (*)

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2nd Applicant Insurance \ BCA application

Please note an insurance form needs completing for each member i.e if you are opting for joint membership you will need to complete two insurance forms.

First Name

Invalid Input

Last Name

Invalid Input

Insurance Category Person 1(*)

Name of Caving Club(*)

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Previous BCA Number(*)

I have never had a BCA numberI have had a BCA number in the past and do not know it I have my 2017 BCA number (please enter below) Invalid Input

My 2017 BCA number was = (*)

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Total Membership Payable £

Total £

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PARTICIPATION STATEMENT - The BCA recognises that caving, cave diving and mine exploration are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept the risks and be responsible for their own actions and involvement.

For New Members only - Please state below the name of the Y.S.S Member supporting your application. Your application will be considered at the next committee meeting and you may asked to attend a club event prior to approval.

Supporting YSS Member for NEW MEMBERS Only

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I agree to the above information and by ticking this box I'm giving the equivalent of my signature

Agreement(*)

Agree Invalid Input

1) I have read and agree to the YSS Privacy Policy: Click here to view and download

(*)
Yes Invalid Input

[This is a requirement of the GDPR legislation and outlines how the Club stores and uses your personal information.]

2) I am happy to be included in the club e-mail distribution list:

(*)
Yes No Invalid Input

[This is used approximately once a month to send members either the latest proper newsletter or an automated newsletter including short snippets from the club forum. Selecting “no” will make it much harder for you to find out what is happening.]

3) I am happy to be given a login for the club website:

(*)
Yes No Invalid Input

[This gives access to, among other things, the Forum. This is the main method of organising trips, socials and other YSS related events.]

4) I am happy to for the following data about me to be included on the club membership list that is circulated to other members (please tick those you wish to be shared with other members):

(*)
No DataNameAddressPhoneEmailAll of the above Invalid Input

[This is new to 2019 and should help members communicate with each other.]

Validation(*)

Refresh

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