Avon County Rowing Club Adult Membership Application Form
Please complete this if you would like to join Avon County Rowing Club. When filling in phone numbers please include a space (so 0117 12346789 not 011712346789).
Your details
Surname
Your answer
First name
Your answer
Home Phone Number
Your answer
Work phone number
Your answer
Mobile phone number
Your answer
Work email
Your answer
Home email
Your answer
Which is the best email to contact you on?
Date of birth
Your answer
Address (line 1)
Your answer
Address (line 2)
Your answer
Post town
Your answer
Post code
Your answer
Emergency contact details
Please provide contact details for someone who may be contacted in the case of an emergency.
Emergency contact name
Your answer
Emergency contact phone number
Your answer
Further Information
What kind of membership are you applying for?
Can you swim 100m wearing cold weather rowing kit?
Please list any medical issues we should be aware of? Please declare any condition that might cause you a sudden loss of control while rowing/sculling, cause you general difficulty while rowing or that you think we should be aware of.
Your answer
Are you a rowing umpire?
Please list any rowing coaching qualifications you have passed with the date you passed them.
Your answer
Subscriptions
Please indicate how you will be paying your subscription. If you choose 'Direct debit' you will be sent an email inviting you to set this up through 'GoCardless'.
I will be paying my subscription by:
Declaration
BY SUBMITTING THIS FORM ELECTRONICALLY, I AGREE TO ABIDE BY THE CLUB RULES AND THE BRITISH ROWING CODE OF CONDUCT AND I HAVE READ AND ACCEPT THE CLUB’S SAFETY POLICY. I UNDERSTAND THAT THE CLUB HAS A CHILD PROTECTION POLICY IN PLACE.

I CONSENT TO THIS INFORMATION BEING STORED ELECTRONICALLY TO AID ADMINISTRATION AND TO THE CLUB’S REGISTERING MY NAME AND EMAIL ADDRESS WITH BRITISH ROWING AS A NEW ROWER

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