The Seahorse Dive Club

Membership application form2018/2019- Please print page 1 and complete. (Page 2 is for Guidance)
Name: / ______
Address: / ______
______
______
Main Contact Tel No : / ______
E-mail address: (For News, updates etc)
Do you use Social Media? (Please circle) / ______
Facebook / Twitter / Messenger / Other
Date of Birth: / ______
Next of kin / Name: / ______
Telephone: / ______
Dive certification - / Affiliation & Level: / ______
If Divemaster or Instructor please provide ID No: / ______
Number of logged dives 1ST April 2018: ______
PADI Speciality training / Other Agency Equiv. / FURTHER TRAINING YOU ARE INTERESTED IN:
Do you have personal diving insurance? / YES / NO
If “YES” – Please advise: Company and Policy Number:______::______::______

Diving experience and interests(this will help the club feature trips for all our members requirements)

Type of Diving
UK Diving (Boat charter)
UK Diving (Club RIBs)
Inland Diving (i.e. Vobster)
Overseas Expeditions
Other (please state) / Experience (Y/N) / Interested (Y/N) / For office use:
Cert. checked
Member
Number
Docs OK:

I wish to join the Seahorse Dive Club (2018/2019) and agree to abide by the rules of the club. I have completed the Liability Release and Medical Declaration, andhave submittedthem with this application.

I do not have a criminal record that could affect club events/operations: Confirm / Decline to comment **

If you are considered to be a Vulnerable Adult, please advise us:YES / NO ** (see Addendum 1)

Signature: / ______
Parent’s or Guardian’s signature if under 18: / ______
Date: ______

Membership: 2018/2019

/ FULL / Hand this form, your completed release and medical forms, and cash toaMember of the committee.
To pay by BACS:
The Seahorse Dive Club
Sort Code: 40:47:16 Account: 11159828
Ref: Surname and Initial (please)
Membership Fee £35 pa (or £3*per outstanding month)

* For new members joining after 1st June 2018 The membership year runs from 1st April to 31st March. Payment will be from the beginning of the month of joining until the following 31st March. In all cases, membership fees must be paid in advance to the end of the membership year. We cannot accept monthly payments. Lapsed members pay full yearly rate at any time of re-joining during the year.

**Please delete as appropriate. Essential declaration, due to expeditions, and training days, involving travel away from home.

THE INFORMATION ON THIS FORM IS HELD SECURELY UNDER THE TERMS OF THE DATA PROTECTION ACT.

Addendum 1 – Safeguarding Requirements 2018

  1. Anyone under the age of 18 is considered to be vulnerable.
  2. What is a Vulnerable adult?

(1) A person is a vulnerable adult if he has attained the age of 18 and—

(a)they are in residential accommodation,

(b)they are in sheltered housing,

(c)they receive domiciliary care,

(d)they receive any form of health care,

(e)they are detained in lawful custody,

(f)they are by virtue of an order of a court under supervision by a person exercising functions for the purposes of

Part 1 of the Criminal Justice and Court Services Act 2000 (c. 43),

[F1(fa)they are by virtue of an order of a court under supervision by a person acting for the purposes mentioned in

section 1(1) of the Offender Management Act 2007 (c. 21),]

(g)they receive a welfare service of a prescribed description,

(h)they receive any service or participates in any activity provided specifically for persons who fall within subsection (9),

(i)payments are made to him (or to another on his behalf) in pursuance of arrangements under section 57 of the

Health and Social Care Act 2001 (c. 15), or

(j)they require assistance in the conduct of their own affairs.

Information regarding the Sexual Offences Act/Register:

The 2003 Act requires offenders on the sex offenders’ register to notify to their local police certain personal details and information, including (but not limited to) their name, address, date of birth and national insurance number.This is done initially (usually following release from custody), annually or whenever their details change.

The notification requirements form an invaluable tool to the authorities and provide a robust framework for managing relevant offenders in the community. Public protection is the priority for the government and the department works closely with the police and other law enforcement agencies to ensure that the right tools and powers are available for the authorities to tackle serious sexual crimes and to bring perpetrators to justice.

Each of the four additional requirements introduced by the new regulations was identified by practitioners and experts as a priority area where action is required to prevent relevant offenders from seeking to exploit gaps in the system.

Following a period of consultation, the department has carefully considered all of the comments made in response and on 5 March 2012 published a summary of responses and announced its intention to implement each of the four proposals.

The regulations were approved by the House of Commons on 19 June and by the House of Lords on 5 July and came into force on 13 August 2012.

Checks and Costs: STANDARD = £55.49 – suitable for Club Officers and Instructors

ENHANCED = £68.49 - for someone solely responsible for children or adults in a

vulnerable position as part of their everyday role.

Possible sources for checks:

Regarding the Data Protection Act:

The SDC will hold all declared personal information in a secure manner.

Only two persons have access to the forms: Chairman and Membership Secretary.

The list of Club Members’ emails is made available to Dive Trip Organisers and must be used in the ‘bcc’ box

The question regarding social media is for information only, we use them to advertise the club in general.

Dive Plans will not be issued by these means.The prime contact method is by email.

Seahorse Dive Club membership application form – updated March 2016