Mid-Wales Hang Gliding and Paragliding Club Membership Application Form.

For membership up to the 31st March 2011, please complete the following form and read the agreement before clicking on "join". The fields marked with a * are mandatory, as is a rating of at least Club Pilot and experience as the number of hours flown. Members joining after the 31st October can, by discussion with the membership secretary, receive a £5 refund the first time they renew.

Surname : *
First name : *
Address line 1: *
Address line 2:
Address line 3:
Address line 4:
Post Code: *
Phone:
Mobile:
e-mail: *
BHPA No: *
PG Rating:
PG Hours: hours
HG Rating:
HG Hours: hours
Endorsements:
Confirmation Code: Security Image
Confirmation Code: *

By clicking on "Join", I certify that the information I have given is correct. I agree to abide by the rules of the Mid-Wales Hang Gliding and Paragliding Club and understand that my membership is only valid whilst I have current BHPA membership. I agree that all club activities are undertaken entirely at the member's own risk. Neither the Club nor its officers are liable for any damage or injury resulting from their decisions. I understand that the data I supply will be stored electronically for the purposes of club administration only. These data will not be used for marketing etc.