POTOMAC SPELEOLOGICAL CLUB, INC

MEMBERSHIP REQUIREMENTS

This form should be completed after becoming an Applicant Member, and completing at least 24 hours underground with PSC members.  No payment required.  Completing this form make you a Regular Member, with all the privileges of membership, including voting rights and assignment of a PSC number.

NAME:                                                                                                            (please print) 

Cave

Date

Hours

Witness

PSC No.

         
         
         
         
         
         
         
         
         

                                    Total Hours:                             (must total 24 hours or more)

ENDORSEMENT FOR MEMBERSHIP:

                                                                                                                                                  

Name                                           PSC No.      Name                                            PSC No.

            I, the undersigned, in applying for Regular membership in the Potomac Speleological Club, will abide by the policies, rules, requirements, and other like matters of the club, particularly those relating to safety, conservation, and consideration of the owner’s property rights.  I own a hard hat and a cave light.

Signature:                                                                     Date:                                     


For Membership Committee Use Only:

Date recevied with completed membership requirements:                      

PSC No.:                         Membership Chair: