Do you have a disability or take any medication that we should be aware of? *
Please provide an emergency contact name *
Please provide an emergency contact number *
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.
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