Online Membership Application - Leatherhead Model Flying Club

Name *

First

Last

Address *

Enter your full address

Email *

Mobile Number

Either a mobile or land line number is required (preferably both)

Phone Number

Either a mobile or land line number is required (preferably both)

The club operates a WhatsApp group for field attendance and general notifications. If you have provided a mobile number would you like to be added to the group?

Yes
No

Date of Birth (Required by BMFA for registration)

BMFA membership number (if applicable)

Occupation

Type of model flown *

Fixed Wing IC
Fixed Wing Electric
Glider
None (beginner)

Are you 3rd party insured? *

Yes
No

If Yes, please state policy

BMFA
LMA
Other

If other, please provide details

If not a beginner, how many years flying experience do you have?

State which BMFA, if any, achievements / Qualifications you have gained? *

If an Examiner, in what disciplines?

If you don't hold a BMFA achievement scheme certificate have you completed the online CAA test to obtain a Flyer ID or the equivalent BMFA RCC?

Yes
No

Please state other clubs you are either a member of or previous clubs you have joined

Which frequency band(s) do you use – note 27MHz is not permitted at our club? *

35MHz
2.4GHz

If 35Mhz used, please state the Channel Numbers used in the 35MHz band

Why do you wish to join LMFC? *

On occasion, are you willing to assist the club with general tasks, field maintenance, or other work? *

Yes
No
Possibly

Where did you hear about LMFC?

Please provide any further comments in support of your application or other message

I HAVE READ THE CONSTITUTION AND FLYING SITE REGULATIONS OF THE CLUB AND, IF ADMITTED TO MEMBERSHIP, AGREE TO ABIDE BY THEM. (If the applicant is under the age of 16 the signature of parent or guardian will be required) *

Yes
No

Date *

IF MEMBERSHIP IS APPROVED IT WILL BE ON A 6 MONTHS PROBATIONARY BASIS, AFTER WHICH PERMANENT MEMBERSHIP WILL BE CONFIRMED AT THE COMMITTEE'S DISCRETION *

Agreed

Please confirm you give permission for your name, address, telephone number and other details to be published in the password protected section of the club's website . *

Yes
No