Swansea Nomads Membership Application Form

Membership  Application  -  April 1st 2011 - 31st March 2012

 

Name:- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Address:- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

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Date of Birth:- . . . . . . . . . . . . . . . . . . . . . .

 

Email Address & Contact Tel. Nos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Home No....................................................Mobile No....................................  

 

To be completed by registered racers

 

Name of first registered Ski Club:- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Name(s) of other registered Ski Clubs:- . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Name(s) of registered snow Ski Club:- . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Do you or any member have any allergies or medical conditions of which we should be aware?                     (Yes)                                      (No)

If Yes,  for your own safety we would recommend that you advise us overleaf

 

MEMBERSHIP FEES

 

Please tick which type of membership you wish to take:-  Family membership includes up to 4 family members including 2 Registered Racers. £5 each additional participating member.

 

            Family - £35                 Adult (18+) - £25.00                 Non skier - £10.00

 

POLE TAX-This is payable in addition to membership by anyone wishing to ski through slalom poles.

 

Those new  to skiing (first 2 years of Ski Racing) - £20.00 per person per annum

Others -  £30.00 per person per annum

Non Club members pay £5 per session pole tax. 

 

Please make cheques payable to “Swansea Nomads Ski Club”.

 

All members agree to abide by Swansea Ski Club's Code of Conduct and safety requirements.  Members agree to absolve Swansea Nomads Ski Club from any injury they sustain  whilst taking part in any Club Activity and confirm that they realise the dangers involved in Skiing and Snowboarding. Members must advise the Club of any criminal conviction

 

Parents agree to take responsibility to ensure that their children are supplied with and use all safety equipment, such as helmets , gloves and guards and to make sure that arms and legs are fully protected at all times. A parent/guardian must remain with any children under age 18 at all training sessions.

 

Signed (Guardian or parent if member is under age 18) :- . . . . . . . . . . . . . . . . . . . . . . .

Please return form to: Andrew Crawford (Chairman), Swansea Ski Club, Malindi, 40 Chapel Rd, Three Crosses, Swansea, SA4 3PU