Author: Erika

PARA SNOWSPORTS WALES

MEMBERSHIP FORM

Title………………….. Surname …………...……………………..Forename ………………………………………..
Address,……………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………..…………………………………………...Postal Code………………………………………………………………………….
D.O.B ………../…………./…………… Mobile Number ……………………………………………………………….
Email Address …………………………………………………………………………………………………………………...
Emergency Contact Name …………………………………….Contact Details…………………………………...
Skiing Ability
Please indicate your skiing ability below by placing a cross x in the appropriate box.
⃝ Novice you have never skied before or are only able to slide down the beginners slope
⃝ Beginner you are able to stop and control your speed confidently
⃝ Intermediate you are able to completely perform linked snowplough turns
⃝ Advanced you are able to confidently perform linked parallel turns
Please give brief description of any disability, ie severity, mobility , etc
I am joining as : Sit Skier/ Stand Skier/ Guide /Helper/ Instructor/Parent/Cares Other

Please complete this section of this form and return it to the Ski Club by Hand or Scan your form to the Membership Secretary, membershippssw@gmail.com.
Please indicate the type of membership you are registering for by placing and x in the appropriate box.
Membership Fees
□ Individual (23 years Old) £25.00
□ Individual (under 23 years old) £15.00
□ Student (full time in education) £15.00
□ Family ( up to 5 members) £35.00
□ Volunteer / Instructor/ Guide £0.00
Membership fees are paid annually, either cash, or by BACS to Para Snow Sport
Sort code 51-61-28 Account no 73657220 Natwest Bank
I/We will consent to PSW holding the data on this form for as long as I/We are a member □ Yes □ No
I/We agree to abide by the rules and policies of PSW as a member □ Yes □ No
I/We agree to obtain a DBS check if requested as part of my membership ( guide/ instructor/ Volunteer) □ Yes □ No
I/ We consent to appear in photo/video produced by PSW including for marketing purposes □ Yes □ No
I/We would like to receive information regarding training session for guides and/ or instructors □ Yes □ No
I confirm that all the information in this form, is accurate to the best of my knowledge and hereby agree to pay the relevant Membership Fee.
Signed …………………………………………………….Date …………………………………………………………………

ParaSnowsports Wales, 40 High St, Menai Bridge, Anglesey, LL59 5EF Tel No 07421317411

Para SnowSport Wales Registered Charity 1191559