Please complete this prospective membership form in order to register for our next learn to row course

First name:

Last name:

Email:

Telephone number:

Date of birth (Please use date format YYYY-MM-DD e.g. 1980-01-01):

EMERGENCY CONTACT - Provide details of the person to be contacted in case of an accident or emergency
Name:

Telephone number:

Please confirm the date of your payment (Please use date format YYYY-MM-DD e.g. 2017-01-01):

Amount Paid £

I have read and accept the declaration at the bottom of the page

 

Your Personal Health

Rowing and its associated training can be a strenuous activity. You should therefore be in good health and have no medical or physical condition precluding heavy exercise.

 

If there is any doubt you should first consult your doctor and only participate in line with doctors advice.

 

Some conditions such as asthma and diabetes, for example, do not prevent individuals participating in the sport, but you do have a duty to declare any condition that might put yourself or others at risk. Likewise you have a duty to declare any change in personal health whilst a member of the Club that may put yourself or others at risk.

 

It is important therefore that you inform those around you e.g. coaches (in confidence if required) and crew members, of any condition they may have to deal with in the event of an emergency.

 

Your Swimming Ability

For your own safety it is important that you are a competent swimmer. At a minimum you must be able to swim 50 metres in light clothing, tread water for 2 minutes and swim underwater for 5m.

 

Declaration

To be accepted as a prospective member you must accept this declaration and confirm that you:

 

  • Can swim 50 metres in light clothing (rowing kit), tread water for 2 minutes and swim underwater for 5m
  • Do not have any medical or physical condition precluding heavy exercise. If your state of health changes you will inform the Club Captain or your coach (in the strictest confidence) and only participate in line with your doctors advice
  • Accept that use of club equipment and facilities is entirely at your own risk and responsibility and you will take reasonable care of the health and safety of yourself and other members and third parties.
  • Will abide by the Rules and By-Laws of the club and of the sport of rowing at all times, these are available on request and on the club notice board
  • Will comply with reasonable instructions given by club officials and coaches.
  • Act at all times with respect for others, in good faith and in the best interests of the club.
  • Agree that the above information may be held on computer by the Club to be used for Club purposes (Data Protection Act)

 

N.B. This declaration is to be completed before any activity is undertaken.

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