Shadwell Sailing Club
Please complete this form before you sail so we have your consent. The data is only being collected to operate the club's activities. The Club is affiliated to Shadwell Basin Outdoor Activity Centre. No data will be passed on to third parties.
What is your name? *
Your answer
What is your gender? *
Do you have a disability or take any medication that we should be aware of? *
Please provide an emergency contact name *
Your answer
Please provide an emergency contact number *
Your answer
Declaration (please confirm/sign below) *
I agree to observe and comply with the Club's safety regulations. I confirm I can swim. I understand that no agent, employee or member of Shadwell Sailing Club or Shadwell Basin Outdoor Activity Centre are liable whatsoever in respect of loss or damage to personal property however caused while attending the club. I am aware that participation in water sports may involve strenuous physical activity and I am fit enough to take part. I hereby give consent for any photographic material taken while attending the club may be used by Shadwell Sailing Club or Shadwell Basin Outdoor Activity Centre.
Please provide the additional information over the page
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