Membership Application

Please click here to download a membership application form.

Please print and post to Brathay Exploration Group, Brathay Hall, Clappersgate, nr Ambleside, Cumbria, LA22 0HP.

Attach a cheque or standing order mandate.

 

If you are having difficulty with download pleasew print this page and complete the form by hand :

        Brathay Exploration Group Membership Form

 

Title:                          Full Name:        

Address:        

 

 

Postcode:        

Tel (home):        

Tel (mobile):        

Email:        

 

Occupation:        

Date of Birth:        

 

Emergency Contact / Next of Kin Details

Name:                                                                              Phone number:        

Address :      

 

Please select the type of membership that you would like:

Club membership includes Club affiliation to the BMC which offers a number of benefits including Civil Liability iinsurance (£10000000 worldwide), annual Summit magazine, access to BMC mountain huts, access to BMC travel and activity insurance and discount on BMC publications.

Participation in any outdoor Club activity requires Club & Trust Membership.

Trust Only Membership (£27)

Club and Trust Membership (£27)

I enclose a cheque for £27

I would like to set up a Standing Order and have filled in the enclosed form

I already pay by Standing Order

 

 

Club Participation Statement

The BMC and Brathay Exploration Group Club  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.

 

I accept that climbing and mountaineering are activities with a danger of personal injury or death. I am aware of and shall accept these risks and wish to participate in these activities voluntarily and shall be responsible for my own actions and involvement.

 

Signature : ­­­­­­­­­­­­­­­­­­­­­­­_______________________________   Date : ______________________

 

 

Please give details of any qualifications or training that you have completed:

   First Aid  date:       

   Summer ML   date:       

   Summer ML training   date:       

   IML   date:       

   Winter ML   date:       

   Winter ML training   date:       

Other e.g. MIA, SPA, BCU (give details)      

Please give details of any relevant trekking / expedition experience (location, year, position, organisation, expedition purpose)

E.g. Corsica, 2002, assistant leader, Brathay Exploration Group, trekking

     

 

Please give details of any relevant fieldwork experience (location, year, position, organisation, details of the fieldwork study)

E.g. Foula, 1996, member, Brathay Exploration Group, ecological survey

     

 

Please indicate your main interests for the future and what you hope to get out of your membership (tick all that apply)

   Trust membership

   Fieldwork

   Club events / outdoor meets

   Youth Leadership

   Peer led expeditions

   Committee position / organisational role

 

I am happy for the following personal details to be available to all current members:

   Name

   Telephone number

   Postal town

   Email

 

Signature : ­­­­­­­­­­­­­­­­­­­­­­­_______________________________   Date : ______________________