MWHGPC Membership Application Form
Surname Forenames
Address Home tel.
Daytime tel.
Mobile tel.
Postcode Email
Paraglider rating and hours BHPA Number
Hang glider rating and hours Endorsements
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.
Please send me:
[ ] Membership until 31 March 2011 , cost £10.
[ ] A sites guide, cost £4.
Signed Date