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ROAM Cumbria - Application for Registered Membership
TIP: This is quite a detailed application form. It may be best to print a blank copy, make some notes
and look for the required information offline. When you reconnect, it shouldn't then take more than
10 minutes to complete and submit the form.
 
       
20/08/2008
What is your business's name - or your own name if no trading name:
Contact's Name:      
Address:   Telephone:
    Mobile:
    Fax:
Town:   Email:
Postcode:   Website:
Business Type:
Activity Type:   Main Client Group 1:
Main Programme Aim:   Main Client Group 2:
Other Programme Aims:   Other Client Group:
Which local authority does your business come under?
If other, please give details:
If you provide managed facilities for the public (eg climbing walls, ropes courses, ski slopes etc) pleas complete the next section. ('Technical Manager' is the activity specialist in the business who manages the particular facility. 'Facilities Adviser' is the person or Company who constructs, maintains and advises on the particular facility)
First Facility:   Second Facility:
Technical Manager:   Technical Manager:
Facility Adviser:   Facility Adviser:
Trade Association Membership?   Trade Association Membership?
Similar details of any other managed adventure facility:  

If you provide instructed/guided/led activity sessions or courses, please complete the section below.

For each of the activities you offer (from the drop down menus), please indicate who your most experienced and best qualified 'specialist' is. This person (called a technical adviser by the Licensing Authority) may be you, or an employee, or a regular contracted freelance, or some other external activity specialist. This person should be able to provide advice of a technical nature relating to the activity, should you need it. They are also the person who has the experience and qualification to verify the competence of any unqualified staff you may use. Give this person's highest, relevant qualifcation in each case, or say 'none' if they have experience only.

In the 'Notes' section on each activity, please jot down any 'sub-sports' that you offer under the general activity heading (eg under Motor Sports, you may add 'Quad-bikes and motorcycles', or under 'Sailing/Windsurfing', you might say 'sailing only', or 'cruising yachts only' etc.) Also in 'Notes' you could give an indicate of the upper limit at which you operate and an example of a typical venue (eg Kayaking up to Grade III rivers, or Orienteering in woodland such as Grizedale, or Archery 'on site' only, etc)

This form has space for up to EIGHT different activity groups! We don't expect that anyone will have to fill them all in - in fact for most people just one or two plus some notes will suffice!

       
Activity 1:   Notes:
Specialist:  
Qualifications:  
       
Activity 2:   Notes:
Specialist:  
Qualifications:  
       
Activity 3:   Notes:
Specialist:  
Qualifications:  
       
Activity 4:   Notes:
Specialist:  
Qualifications:  
       
Activity 5:   Notes:
Specialist:  
Qualifications:  
       
Activity 6:   Notes:
Specialist:  
Qualifications:  
       
Activity 7:   Notes:
Specialist:  
Qualifications:  
       
Activity 8:   Notes:
Specialist:  
Qualifications:  
       
Give details of any other activities not covered by the categories in the drop down menus:  

SUB-CONTRACTED ACTIVITIES
(By 'sub-contracted activities' we mean those where (a) the client pays you, and (b) you sub-contract to another provider, and (c) you pay the sub-contractor for their services. This doesn't include individual freelance staff who work for you, or under your safety managment system.)
Do you sub-contract any activity provision?
If so, which activities?
...and to whom?

LICENSING AND OTHER ACCREDITATIONS
Do you have a licence?    
What is your AALA reference? R ...and licence number: L
What is your Licence duration: years    
(or for unusual duration: months)    
When does your current licence expire?    
Are you regularly inspected and accredited by another organisation?
(eg a National Governing Body such as the RYA):		 please detail any such accreditations below
Which Organisation? What is your accredited status called?
(eg BCU Approved Centre) 		When does it expire?
Please give details of any other Inspection agencies

ACCOMMODATION
Do you provide accommodation for your clients as part of their 'package'?
Is this accommodation 'on site' in your own property?   Is your own occommodation Cumbria Tourism inspected/approved?
Do you 'sub-contract' accommodation?   Is this subcontracted accommodation Cumbria Tourism inspected/approved?
Who is your subcontractor?  
Do you 'recommend' particular accommodation   Is this recommended accommodation Cumbria Tourism inspected/approved?
Do you use very basic 'expedition style' accommodation (eg camping, bunkhouses, self-catering)?

TRANSPORT

      
Do you provide transport for your clients as part of their 'package'?   If 'yes', give brief details of your fleet
Do any of your vehicles have seats for more than 8 passengers?  
Do you have 'minibus permits'?  
Do your drivers have 'PCV licences'?  

INSURANCE

        
Do you have Employer's Liability Insurance? (a legal requirement for employers)
Do you have public liability insurance?   Do you provide accident insurance for clients?
With which Broker/Insurance Company?     With which Broker/Insurance Company?  
     
Upper limit of liabilities £'s?        
       
Please give a rough indication, in the box below, of the times of year when your business is operational and activities are taking place - this is to help the assessors plan a visit.
Check that you've filled in the application accurately then read the statement below and if you're happy, tick the 'I accept' box and press the 'Submit' button to send it. You'll then be contacted in due course to arrange an assessment. Thanks, and welcome to ROAM Cumbria!
 

I accept that the information submitted above will be stored on computer. It will not be used by any organisation other than Cumbria Tourism and Professional Services Outdoors (PSO) - or some other organisation that may be contracted by Cumbria Tourism to carry out assessments in the future. Cumbria Tourism/PSO will only use the information provided in the context of the ROAM scheme, and for the promotion of your business through normal Cumbria Tourism Marketing channels. If you are unhappy with this, we regret that we cannot accept your application.

I accept I do not accept

 

 

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