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Keswick Mountaineering Club
Climbing in the northern Lake District
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First Name
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Last Name
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Preferred phone
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Email
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Emergency contact (you must have permission from this contact to have their details distributed to other members)
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Emergency contact’s phone number
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I agree to the ‘Basic Contact Details’ above being passed to all members. If I do not tick this box, I understand that I will not receive email notifications about club meets and will have to refer to the club website for such information (which may not be updated due to last-minute postponements for weather, etc.). If I do not tick this box I will not receive Basic Contact Details of other members.
Date of birth
Address 1
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Address 2
City
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County
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Postcode
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Country
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Home phone
Mobile phone
Work phone
BMC membership number
Do you lead on trad routes?
Min trad grade you are prepared to climb
Max trad grade you are able to lead
Do you lead on sport climbs?
Min sport grade you are prepared to climb
Max sport grade you are able to lead
Do you lead winter routes?
Min winter grade you are prepared to climb
Max winter grade you are able to lead
Approx. number of years of climbing/mountaineering experience
Other outdoor interests
Availability
I agree to the above ‘Additional information’ being passed to all members. This information can be useful to enable other members to contact you directly, e.g. to find members who live nearby and climb at a similar grade.
I agree to the club retaining both the Basic Contact Details and Additional Information above, even after I leave the club, for the purposes of historical record keeping and to enable me to be contacted about reunions, etc. Once I have left the club I understand that this information will only be accessible to committee members (not distributed to other members). If I do not tick this box, all data about me will be deleted when I leave the club, and the club will be unable to contact me thereafter.
I have read, and agree to the club’s privacy policy, which follows on the next page. I agree to my postal address and ‘Basic Contact Details’ from the form to be passed to the British Mountaineering Council (BMC) to gain associate BMC membership. I will ensure that the club Secretary is contacted, whenever any of the above information changes (especially my emergency contact). I agree to be bound by the club's constitution and rules. I accept that climbing and mountaineering are activities with a danger of personal injury or death. I am aware of and accept these risks and wish to participate in these activities voluntarily and shall be responsible for my own actions and involvement. I agree that I will always act responsibly regarding my own safety and that of others. I am over 18. If you do not tick this box, you will not be able to join or renew your membership.
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