Full Membership Application

Full Membership Application Personal Details Name Title Address Postcode Phone Mobile email Birth Date** Magazine Either: B&W printed copy by post

Handbook* Y/N

Y/N Y/N Y/N N/A Or Download colour PDF

*NMC Handbook: Please indicate which details you wish to be included in the handbook. ** Under 18s: Please confirm that the Under 18 participation & in loco parentis forms have been read and signed.

Your Climbing Experience Can you safely and responsibly belay and lower a top-roped climber? Please describe your climbing experience:-

Yes / No

NMC Meets attended: (Location/Date) 1 2 3 Proposal In our opinion the applicant can climb safely and responsibly and we therefore recommend that the committee approve their Full Membership of the NMC. Proposer Seconder Name Signature Date

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.

Declaration In applying for membership I confirm that I have read and understood the NMC participation statement, and am fully aware of the activities involved and the risks entailed.

Signed

Date

(Parent or Guardian to sign if applicant is under-18)

Full Membership Fee is currently £25 per year and is due on the 1st February each year. Applications and renewals are to be sent to the NMC Secretary together with a cheque for £25 (or £10 if prospective membership is still current) made out to the NMC to the address below: Sam Judson 31 Kenmore Close, Wardley Tel: 07793 522261 Gateshead, NE10 8WJ Email: [email protected]