Peak Climbing Club Application for Membership
For more details about the club, and how to join, please visit our website: www.peakclimbingclub.co.uk
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Title *
Forename(s) *
Surname *
Date of birth *
MM
/
DD
/
YYYY
Phone number *
Email address *
Address 1 *
Address 2
Town/City *
Postcode *
If you are a member of UKClimbing and wish to share your username, please enter it here
The Peak Climbing Club is affiliated to the British Mountaineering Council (BMC).  Are you already a: *
Yes
No
Member of a BMC-affiliated club
BMC individual member
Please list the dates & locations of recent club meets that you have attended (can be indoor or outdoor) *

For applicants who are primarily rock climbers

Yes
No
Not certain
Are you able to safely tie on to a climbing rope?
Are you able to safely lead belay other climbers in an outdoor environment?
Clear selection
For applicants who are primarily mountain walkers
Yes
No
Not certain
Are you able to navigate in high hills in poor conditions?
Clear selection
Applications for membership must be endorsed by an existing club member - please name that member here *
Do you want to be added to the club WhatsApp community after joining? *
The club also has a Facebook group which you can request access to after you've joined
If you use a different phone number for WhatsApp than you listed above, please provide it here
If you don't understand what this question is asking, you can almost certainly leave this blank.
Emergency Contact Info
Emergency contact information you provide here will be made available to the members of the Peak Climbing Club committee for use in an emergency. Please don't put the details of your regular climbing partner!
Emergency contact name *
Emergency contact phone number *
Objects of the club
To stimulate interest in rock climbing, hill walking, mountaineering, and kindred pursuits, to encourage the pursuits of climbing and walking, to serve as a bond of union for all interested in the above pursuits, to pool knowledge, to protect the amenities of the district, and to guard and promote the interests of mountaineers.

Participation statement
The Club recognises that climbing, hill walking and mountaineering are activities with a danger of personal injury or death and all participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.  All Club members must understand their own level of competence and must behave responsibly and appropriately in a hill, crag or mountain environment or any other indoor or outdoor environment, having due regard to the safety of themselves, other Club members and third parties.

I agree to support the objects of the club and indicate that I understand and will abide by the terms of the participation statement.   *
Data Usage
Your data will be stored by the club for the purposes of organising club activities, and shared with the BMC for the purposes of arranging your affiliate membership. Parts of your data (e.g. email address) will be made available to Peak Climbing Club committee members for the purposes of distributing email announcements to members.
Clear selection
For applicants under 18
Those under 18 are eligible to join the club with written parental consent. Any member under 18 must be accompanied and closely supervised by a parent/guardian at every meet. This means the parent/guardian is either in the same climbing party (usually a rope team), or watching the member climb. The parent/guardian may not climb or walk elsewhere. If the parent/guardian is only supervising, and not climbing, they do not need to separately join the club.
Parent/guardian's name
Parent/guardian's phone number
Parent/guardian's email address
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