Andreas Gliding Club 

Application for Membership
Just print this form and bring it with you, or mail it to the address below        

Surname                                                       Forenames                                                       
Address                                                       Tel No (Home)                                                       
                                                      Tel No (Day)                                                       
                                                      E Mail                                                       
Post Code                                                       Date of birth                                            
I apply for membership of the Andreas Gliding Club:

Please tick one

 Full                 £120.00   (One year)
(<18 yrs)  Junior                 £  40.00   (One year)
Please tick here if renewal           Reciprical                 A fee equal to that of your club
Monthly                 £  11.60  (Tick this for trial lessons)
Next of Kin
Surname                                                        Forenames                                                       
Address                                                        Tel No (Home)                                                       
                                                       Tel No (Day)                                                       
                                                       E Mail                                                       
Post Code                                                       
Relationship                                                     
Declaration
In consideration of my being admitted as a member of Andreas Gliding Club ("the club") and in consideration of being afforded facilities by the club for gliding and or instruction:
  1. I agree to be bound by and observe the rules and operational regulations of the club
  2. I undertake that neither I nor my personal representatives or my next of kin or heirs will make any claim against the club or any of its members, elected officers, servants or agents in respect of:
    a) any loss or damage, including loss of or damage to property or
    b) any personal injury, including death
    which I, my personal representatives, next of kin, dependants or heirs may suffer while or in consequence of my membership of the club or as a consequence of my flying in any aircraft or in connection with any gliding or flying operations carried out by the club, whether such loss, damage or injury arises by reason of the negligence of any person or from any other cause whatsoever.
    3.
If applicant is under 18 years of age
Print Name                                                       As parent/guardian of the applicant I consent to the applicant flying, operating and taking instruction in club aircraft and equipment
Applicant                                                       Print Name                                                     

Parent or Guardian                                          

Date                             Date                                                    
I enclose remittance of £                in repect of one years/months membership of the Andreas Gliding Club as indicated above.
To the Secretary,  Andreas Gliding Club, Cranstal Cottage, Port e Vullen, Maughold, Ramsey, Isle of Man, IM7 1AN

Now please complete Medical Declaration Form