Membership Application

Name and contact number

(If yes, complete explanation with date of occurrence)
(If yes above, complete explanation with date of occurrence)
(If yes, complete explanation with date of occurrence)
(If yes above, complete explanation with date of occurrence)
The information above is required for purposes of insurance coverage and club safety practices. It is the responsibility of each member to update such information when it becomes available, and to operate club equipment in accordance with the privileges and limitations of the above listed licenses and examinations. Privacy statement: It the policy of Flying Particles Inc. to keep all private information private. We will not share information, nor will we post it on the internet. You are providing information that is needed for the proper conduct of FPI business.