Henley Rowing Club adult learn to row registration form
Please fill out this form in order to register for the adult learn to row course beginning on the 21st of February.
After filling out this form please follow the payment instructions on the website. Once payment is received you have secured your place and a email with further information will be circulated closer to the course
Email address *
Name *
Your answer
Contact number *
Your answer
Home address *
Your answer
Age *
Gender *
Have you suffered from an injury in the last six months? *
If you answered yes please give details
Your answer
Have you suffered from illness which required you to visit the doctor in the last 6 weeks? *
If you answered yes please give details
Your answer
Are you currently having to take any medication *
If yes please give details
Your answer
Have you/do you suffer from any heart conditions *
If yes please detail
Your answer
Please pick which training times you would like (these will be first come first served)
A copy of your responses will be emailed to the address you provided.
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