Brogborough Lake Membership form
Membership form for all membership options
Email address *
Full Name *
Your answer
Address *
Your answer
Post Code *
Your answer
Contact number *
Your answer
Emergency contact name *
Your answer
Emergency contact number *
Your answer
Membership type *
Names of partner and/or family members and childrens' DOB
Your answer
Storage, number of racks. *
membership payment method *
third party insurance provider (excluding ultimate, getsetgo, sup ours)
Your answer
policy number or RYA membership number
Your answer
renewal date
MM
/
DD
/
YYYY
I/WE CONFIRM/WE HAVE THIRD PARTY INSURANCE (min £2 million) or are using hire kit *
Required
I declare that to the best of my knowledge i am not suffering from impetigo, epilepsy, asthma, diabetes, angina or any heart complain *
i am a competent swimmer, and will wear a buoyancy aid if not wearing a windsurf harness or sup leash *
i will not go within 50m of fisherman, and i will not go beyond the islands at the back of lake, staying visible to the shore from which i launched at all times. *
BROGBOROUGH BOARDSAILING CLUB LIABILITY DISCLAIMER, During the days when the Clubhouse is closed or there is no named rescue craft, individuals may sail on the lake provided that: 1) they are a full member of the club. 2) There are two or more windsurfers on the water. 3) The administrator and any staff shall not be liable to any member, or to any person using the Club premises or property for or by any act, neglect, default or negligence of any administrator servant employee or agent of the club. All such persons afore said using the club lake or property of the Club or making use of any of the conveniences or facilities provided shall be deemed to do so at their own risk. *
Details and personal information given will not be shared or used inappropriately, you give consent for emergency contact information to shared in a medical situation with the appropriate medical services, and emergency contact to be contacted if required. you give consent for us to contact you regarding relevant information such as lake closures, events, or promotions. *
Notes - please add any information or other medical notifications we may need to know here that has not been added above
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