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APPLICATION FOR ASSOCIATE MEMBERSHIP APPLICATION FOR ASSOCIATE

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									APPLICATION FOR ASSOCIATE MEMBERSHIP                                                                                                                              APPLICATION FOR ASSOCIATE MEMBERSHIP

To Midland Gliding Club Limited:                                                                                                                                  To Midland Gliding Club Limited:

I APPLY for temporary Associate Membership of the Midland Gliding Club Ltd (’the Club’) on a daily                                                                I APPLY for temporary Associate Membership of the Midland Gliding Club Ltd (’the Club’) on a daily
basis and in any event for a period not exceeding 28 days.                                                                                                        basis and in any event for a period not exceeding 28 days.
IN CONSIDERATION of my being admitted as a temporary Associate Member of the Club and of being                                                                    IN CONSIDERATION of my being admitted as a temporary Associate Member of the Club and of being
afforded gliding facilities by the Club I agree and undertake with the Club and also with its officers,                                                           afforded gliding facilities by the Club I agree and undertake with the Club and also with its officers,
members and servants as follows:                                                                                                                                  members and servants as follows:

(1) To observe and perform the Rules of the Club and such other operational regulations and                                                                       (1) To observe and perform the Rules of the Club and such other operational regulations and
instructions as shall be given from time to time;                                                                                                                 instructions as shall be given from time to time;
(2) To observe and perform the provisions of the Laws and Rules of the British Gliding Association as                                                             (2) To observe and perform the provisions of the Laws and Rules of the British Gliding Association as
published from time to time;                                                                                                                                      published from time to time;
NOTE: Copies of the above mentioned documents may be viewed in the Club office.                                                                                   NOTE: Copies of the above mentioned documents may be viewed in the Club office.
(3) Not to cause or permit anything to be done in the course of any membership which should at any                                                                (3) Not to cause or permit anything to be done in the course of any membership which should at any
time be or become a danger or hazard to the Club, its members, its property, or to its flying operations.                                                         time be or become a danger or hazard to the Club, its members, its property, or to its flying operations.
(4) To pay the temporary membership and other fees due prior to my departure from the Club.                                                                       (4) To pay the temporary membership and other fees due prior to my departure from the Club.

I DECLARE that I have never suffered from any of the conditions outlined in the following Schedule, and                                                           I DECLARE that I have never suffered from any of the conditions outlined in the following Schedule, and
that in the event of my contracting or suspecting any such condition I will not fly until I have obtained an                                                      that in the event of my contracting or suspecting any such condition I will not fly until I have obtained an
opinion from my regular General Practitioner that it is safe for me to do so.                                                                                     opinion from my regular General Practitioner that it is safe for me to do so.

                                                  Schedule                                                                                                                                                          Schedule
Any medical condition which may create or lead to a dangerous situation in flight, particularly blackout,                                                         Any medical condition which may create or lead to a dangerous situation in flight, particularly blackout,
epilepsy, severe head injury, recurrent fainting or giddiness, high blood pressure, coronary artery                                                               epilepsy, severe head injury, recurrent fainting or giddiness, high blood pressure, coronary artery
disease, insulin dependent diabetes, dependency on alcohol or drugs.                                                                                              disease, insulin dependent diabetes, dependency on alcohol or drugs.

Signed..............................................................................................................Date.......................................   Signed..............................................................................................................Date.......................................
.                                                                                                                                                                 .

In the case of a person under the age of 18 years this form should be countersigned below by his/her                                                              In the case of a person under the age of 18 years this form should be countersigned below by his/her
parent or guardian.                                                                                                                                               parent or guardian.

I (print full name) ..........................................................................................................................................    I (print full name) ..........................................................................................................................................
Being the parent/guardian of the above named applicant consent to the application for associate                                                                   Being the parent/guardian of the above named applicant consent to the application for associate
membership being made                                                                                                                                             membership being made

Signed..............................................................................................................Date.......................................   Signed..............................................................................................................Date.......................................
.                                                                                                                                                                 .

ADDITIONAL DECLARATION REQUIRED TO BE COMPLETED BY PERSONS AGED 70 YEARS AND ABOVE                                                                                ADDITIONAL DECLARATION REQUIRED TO BE COMPLETED BY PERSONS AGED 70 YEARS AND ABOVE
WHO WISH TO FLY SOLO IN THE CLUB’S GLIDERS.                                                                                                                       WHO WISH TO FLY SOLO IN THE CLUB’S GLIDERS.

I HEREBY AGREE, N THE EVENT OF ANY CLAIM ARISING FROM AN INCIDENT ATTRIBUTABLE TO MY                                                                              I HEREBY AGREE, N THE EVENT OF ANY CLAIM ARISING FROM AN INCIDENT ATTRIBUTABLE TO MY
SOLO FLIGHT IN CLUB GLIDERS, THAT I WILL INDEMNIFY THE MIDLAND GLIDING CLUB LTD. IN                                                                               SOLO FLIGHT IN CLUB GLIDERS, THAT I WILL INDEMNIFY THE MIDLAND GLIDING CLUB LTD. IN
RESPECT OF THE FIRST £500 OF ANY SUCH CLAIM.                                                                                                                      RESPECT OF THE FIRST £500 OF ANY SUCH CLAIM.

Signed..............................................................................................................Date.......................................   Signed..............................................................................................................Date.......................................
.                                                                                                                                                                 .
MGC2002                                                                                                                                                           MGC2002
APPLICATION FOR HOLIDAY COURSE                                                                                                                                                   APPLICATION FOR HOLIDAY COURSE
Full name ...................................................................................................................................................................    Full name ...................................................................................................................................................................
Address ......................................................................................................................................................................   Address ......................................................................................................................................................................
....................................................................................................................... Post Code .........................................      ....................................................................................................................... Post Code .........................................
Daytime telephone .....................................................................................................................................................          Daytime telephone .....................................................................................................................................................
PREVIOUS GLIDING EXPERIENCE                                                                                                                                                      PREVIOUS GLIDING EXPERIENCE

        I am a beginner OR                     I have ................ hours solo ................. hours dual                             Bronze/Silver/Gold/PPL                        I am a beginner OR                     I have ................ hours solo ................. hours dual                             Bronze/Silver/Gold/PPL

date of my last solo flight ...............................                                                                                                                      date of my last solo flight ...............................

I became aware of the Club’s courses through .............................................................................................................                       I became aware of the Club’s courses through .............................................................................................................

I WISH TO ATTEND *                                                  Holiday Course Number ............ Date ...............................................                      I WISH TO ATTEND *                                                  Holiday Course Number ............ Date ...............................................

                                   Alternative        ............ Date ...............................................                                                                                             Alternative        ............ Date ...............................................
* Please enter “S” for Standard “C” for Cross Country                              Please tick relevant boxes                                                                    * Please enter “S” for Standard “C” for Cross Country                              Please tick relevant boxes

                                                        As a full member of the course                                                                                                                                                   As a full member of the course
                                                                        OR                                                                                                                                                                               OR
                                                        As a private owner with my own glider                                                                                                                                            As a private owner with my own glider

AGE                                                        at least 18
                                                         When the course starts I will be:                                                                                       AGE                                                        at least 18
                                                                                                                                                                                                                                          When the course starts I will be:
                                                              16 or 17                                                                                                                                                                         16 or 17
                                                             14 or 15                                                                                                                                                                         14 or 15
Those aged 14 or 15 cannot be accepted unless one of their parents                                                                                                               Those aged 14 or 15 cannot be accepted unless one of their parents
is a Club member.                                                                                                                                                                is a Club member.

ACCOMMODATION Please reserve for me:                                                                                                                                             ACCOMMODATION Please reserve for me:
              a bunk in the bunkhouse                                                                                                                                                          a bunk in the bunkhouse
                           OR                                                                                                                                                                               OR
              a private room containing 4 single bunks                                                                                                                                         a private room containing 4 single bunks
                           OR                                                                                                                                                                               OR
              a private room with a double bed                                                                                                                                                 a private room with a double bed
                           OR                                                                                                                                                                               OR
              a caravan/tent space                                                                                                                                                             a caravan/tent space

I ENCLOSE A CHEQUE payable to Midland Gliding Club Limited for:                                                  Flying fee                £ ..................                  I ENCLOSE A CHEQUE payable to Midland Gliding Club Limited for:                                                  Flying fee                £ ..................
or CHARGE my VISA or MASTERCARD     or SWITCH                                                account             Bunk fee                  £ ..................                  or CHARGE my VISA or MASTERCARD     or SWITCH                                                account             Full Board fee            £ ..................
I agree to pay any outstanding balance                                                                           Private room fee          £ ..................                  I agree to pay any outstanding balance                                                                           Private room fee          £ ..................
at least ONE MONTH prior to the course                                                                           OR Non-refundable deposit £100.............                     at least ONE MONTH prior to the course                                                                           OR Non-refundable deposit £100.............
                                                                                                                 OR Private owner deposit £25...............                                                                                                                                      OR Private owner deposit £25...............
Card expires:                                                                                                                                                                    Card expires:

Card number                                                                                                                               with      £                            Card number                                                                                                                               with      £
Signed ................................................................................................................ Date ............................................        Signed ................................................................................................................ Date ............................................
PLEASE ALSO SIGN the application on the reverse if you are not a club member                                                                                                     PLEASE ALSO SIGN the application on the reverse if you are not a club member

								
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