Name (required)

Email (required)

Mobile (required)

Address

Emergency Contact Name (ICE) (required)

ICE Mobile (required)

Mountaineering Ireland No. (for Associate members)

Skill Courses Attended
Mountain SkillsFirst Aid

Photography & Video Consent
YesNo

PRIVACY STATEMENT AND COMMUNICATION PREFERENCES
Annascaul walks take the protection of data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future data protection legislation.

When you become a member or renew your membership with the Club you will automatically be registered as a member of Mountaineering Ireland. We will provide Mountaineering Ireland with your personal data. If you have any questions about the continuing privacy of your personal data, please contact dataprotection@mountaineering.ie.

PHOTOGRAPHY AND VIDEO CONSENT
Photograph or video images may be taken whilst attending or participating in walks or activities connected with the Club. If you would prefer that any personal images are not used by the Club for items like programmes, newsletters, event reports or on the club website or social media channels, please indicate above.

MEMBERSHIP AGREEMENT
By returning this completed form, you confirm that you have read and understand:
• The above privacy statement
• Annascaul Walks Constitution and policy documents
• You agree to abide by the Walk Leaders decisions at all time the ‘Leave no Trace Code of Ethics’
• You agree with the following statement:

To the best of my knowledge I am not suffering from any medical condition that may adversely affect my participation of hill walking. I accept that Hillwalking is an activity with a danger of personal injury or death. I am aware of these risks and accept these risks. I wish to partake in these activities voluntarily. I undertake to be responsible for my own actions and involvement.

I agree to the above terms.