Glasgow Gorillas Paraclimbing club Membership Form

Name *

First

Last

Date of Birth

Email *

Contact number

Address

Emergency Contact Name *

First

Last

Emergency Contact Number *

Please advise what additional support need you may require? (if any)

Fees : Do not send payment at this stage. We shall notify you of the fees owed when your application has been approved.

New Members joining between September 2018 and September 2019 As new members we will notify Mountaineering Scotland and fees are to be paid within 1 month of joining the club. Categories are: Full Members – 7-17 Year Olds, Affiliate Members – Adult volunteers

New member joining: September – September: Full - £20

Full Membership
Affiliate membership

I understand that this application is subject to approval and that members of our Club will only benefit from Civil Liability Insurance when fees have been paid.

Mountaineering Scotland recognises that climbing 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.

Agree

I agree to the use of photographic and video images of myself / my child being used by Mountaineering Scotland and The Glasgow Gorillas only.

Agree