LST Adult Kayaking Registration Form 
Must be completed prior to your Watersports
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Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Email *
Post Code *
Contact Number *
Emergency Contact Number *
Do you have a disability, special need or medical condition? If so, please disclose *
Can you Swim 25 Meters? *
Disclaimer: 

 Kayaking: Weather and water conditions can change quickly and although very rare, dangerous situations can occur, including you falling into the water and/or the vessel capsizing which in turn could lead to injury and even death. Kayaking is also a physical strenuous exercise. In order to participate in the event,

 You  MUST therefore:  Be able to swim 10meters canal/25 meters and of reasonable health.

And you warrant that this is the case and that you have disclosed to us at the time of booking any and all medical conditions, medication or other issues have an impact on your participation in the event prior to it commencing.

If you are happy for us to contact you in the future with any updates on the work of the London Sports Trust including any events or sessions *
Are happy for pictures/ videos to be used only for our website & social media outlets   *

Agreement of Consent

We are committed through accredited, trained, competent staff to provide a safe learning environment, however these sports do have some contact and injuries may occur through no negligence of our staff.  We feel it is our responsibility to ensure the safety of the attendee and your responsibility to make sure they come well equipped for the activity, i.e. correct footwear & clothing, food & drinks for hydration/medication.  I acknowledge and accept that the LST shall not have any liability in respect with any loss or damage to property and give permission for my child to receive emergency medical treatment in my absence if deemed necessary.  I have read and understood the information contained in the leaflet, and I am happy for information to be held about me for the purposes of council-funded services for young people in London. 

Signature:

 *

Your personal data is being used for a monitoring purpose and will only be shared with the parties that require the information for this purpose. The data will also only be kept for the duration of the project and then will be destroyed after it has been used. If you would like you can request at any time to withdraw your consent and have your data destroyed. Our data protection policy is in accordance with the GDPR Act 2018.

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