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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.
DATA PROTECTION ACT; All club records are kept on computer data base, for club and BCA (British Caving Association) administration purposes only. If you have any objection to your details being kept in this way then please inform the club secretary.
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| 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(*) |
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| Gender |
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| Date of Birth |
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| Type of membership(*) |
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Please enter detail for second applicant |
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| First Name(*) |
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| Last Name(*) |
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| Mobile Phone(*) |
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| Email(*) |
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| Gender |
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| Date of Birth |
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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. |
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| First Name |
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| Last Name |
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| Insurance Category Person 1(*) |
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| Name of Caving Club(*) |
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| Previous BCA Number(*) |
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| 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. |
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| First Name |
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| Last Name |
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| Insurance Category Person 1(*) |
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| Name of Caving Club(*) |
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| Previous BCA Number(*) |
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| My 2017 BCA number was = (*) |
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Total Membership Payable £ |
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| Total £ |
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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.
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.
DATA PROTECTION ACT; All club records are kept on computer data base, for club and BCA (British Caving Association) administration purposes only. If you have any objection to your details being kept in this way then please inform the club secretary.
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. |
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| 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 |
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| Agreement(*) |
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| Validation(*) |
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