USSCC Membership Application 2021

USSCC Membership Application 2021

The Membership Secretary,USSCC, 44 Clonkeen Road, Randalstown, BT41 3JL
Contact Details
Name *

First Name Last Name
Phone Number *
Email *
Date of Birth *

Month Day Year
Address *

Street Address

Street Address Line 2

City County

Postcode
Copy of ID *

Passport, Driving Licence, Student ID etc...
Cancel of
Passport Sized Photograph for ID card

Please note their are plenty of phone apps that will do this for free please dont spend money on it.
Cancel of
Caving Experience
How many years have you been caving? *
If none just put none
Other clubs you belong, or have belonged, to: *
Caving Experience: *
Other contributions to speleology and caving: *

Reasons for wishing to become an USSCC member
Please state in your own words why you wish to become a member of the Ulster Speleological Society & Caving Club and details of how you plan to progress your caving skills. *

Authorisation
In applying for membership of the USSCC, I recognise that Caving and Cave Training are activities with a danger of personal injury or death. I accept this risk and agree that I am responsible for my own actions and involvement in Caving.
Signature *

Clear
Date *

Month Day Year
Date
General Data Protection Regulation requires us to inform you that, if elected, relevant information will be held by the club. The USSCC has a Privacy Policy which is available on its website.

Please tick to confirm that you have read and accept the USSCC Privacy Policy
Communications from other members: There is a Members’ Whatsapp Chat for members to chat to other members about non-commercial caving activities. Members are added once their membership is activated unless they opt out. (You can opt in or out of members’ chat at any time.) Please note that this is a ungoverned chat and their may be banter and chat that may be deemed offensive.

Please tick if you do not wish to participate in USSCC FB Chat.

My Products *

USSCC Club, BCA & BCRA Membership Please enter a short description.

£ 49.00 GBP T-Shirt

USSCC Club Membership Only (Only for those who have BCA Membership already.)

£ 49.00 GBP T-Shirt

Upgrade from Tshirt to Hoodie

£ 10.00 GBP Hoodie

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Total

£ 0.00 GBP

Contact Details