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Membership 2022/23
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Email
*
Your answer
First name
*
Your answer
Surname
*
Your answer
Postcode
*
Your answer
The rest of your postal address
*
Your answer
Mobile number
*
Your answer
Landline number
Your answer
Emergency contact (name, phone number and relation to paddler) - preferably someone who isn't paddling.
*
Your answer
Please list any medical conditions or disabilities that we need to know about e.g. asthma, diabetes etc.
Your answer
Non-swimmers are welcome in the boats but we need to know who you are so please always inform the helm and your buddy in the boat and tick the box below.
I am a non-swimmer
Membership is £60 for the year, payable in one lump sum or £5 per month payable by the 5th of each month. Guest paddlers are £5 per paddle. Bank details: Sort code 82-68-00, Account no. 60048899. Please use your name as reference.
Full membership £60
Full membership £5 per month
Guest paddler £5 per paddle
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Data Protection
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A) I wish to be added to the Email contacts list B) I agree to my contact details being shared with other PfLW members when necessary C) I agree to my photo being used in promotional materials and on the web. Please tick all that apply to you.
A
B
C
Required
Have you ever paddled in one of our dragon boats?
*
Yes
No
Other:
On which side do you paddle?
Left
Right
Either
I don't know yet
Other:
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Is there anything else you would like to add? (e.g. how you heard about Port Edgar Dragons)
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