PLEASE USE OUR 2008 APPLICATION FORM  - CLICK HERE!

Those applying to join an expedition or training course need to complete all parts of this application form fully including the medical questionnaire. Submitting an incomplete form will cause a delay in your application being processed. Places on expeditions and courses are limited and the information you give here will be forwarded to the leader who will use it to help select their members.

SECTION 1 CONTACT DETAILS / MEMBERSHIP APPLICATION (Details must be identical to those shown on your Passport)

(if you have any special dietary requirements please let us know)

ADDRESS FOR CORRESPONDENCE:

IN CASE OF EMERGENCY, contact details

If you are a student, please give the name and address of the school/College or University;

Can you think of a member of staff there who would be willing to receive information from the Brathay Exploration Group
and publish it on the notice board?
Please give their name if you can but only after asking their permission;

EXPEDITION/COURSE APPLICATION

SECTION 4. In a few words, what would you hope to gain from the expedition or course?

SECTION 5

SECTION 6. Referee
You should give here the details of a person who knows you well, preferably from an expedition/outdoor perspective.

SECTION 7. If you are new to the organisation, please tell us how you heard about us:(Please be as precise as possible.)

SECTION 8. MEDICAL INFORMATION
Please complete the MEDICAL QUESTIONNAIRE on the adjacent page. It is in your best interests to complete this as fully
as possible and to keep the information up to date if any problems or changes occur.
Please consult your doctor if you are uncertain about any of the questions.

An application will not be considered unless the Medical Questionnaire has been completed in full.

SECTION 9. DEPOSIT
You must enclose that part of the fee specified as the deposit when applying to take part on an expedition or course. (If the expedition or course starts within ten weeks of the date of application the whole fee must be enclosed). Any monies paid towards the expedition or course will be returned to you at least 10 weeks before the planned departure date in the unlikely event that it is cancelled. If you are accepted for an expedition or course, but have to pull out for whatever reason, money paid is not refundable except as specified in the insurance.


DEPOSIT (see expedition/course page for figure)
Plus membership fee (£16.50 associate membership fee, £20.80 full membership)

TOTAL ENCLOSED
Cheques made payable to BRATHAY EXPLORATION GROUP TRUST, please.

I confirm that I am willing to abide by the decisions of the expedition or course leader and the rules of Brathay Exploration Group. To my best knowledge and belief there are no reasons why I should not participate in the chosen expedition or course and I will not be travelling against medical advice. I confirm that my details, including photographs, may be used by the Brathay Exploration Group for marketing and publicity purposes.

If you are under 18 years of age, your parent or guardian must sign here;

This application and Medical Questionnaire form, together with your payment should be returned to:
BRATHAY EXPLORATION GROUP TRUST Ltd, BRATHAY HALL, AMBLESIDE, CUMBRIA. LA22 0HP.
(Telephone & Fax number: 015394 33942) email  admin@brathayexploration.org.uk

BRATHAY EXPLORATION GROUP TRUST Ltd.

YOU MUST NOW PRINT OUT THIS FORM, SIGN IT AND SEND YOUR CHEQUE. APPLICATIONS ARE ACCEPTED ON A FIRST COME FIRST SERVED BASIS

Now Proceed to Medical Questionnaire