Addlestone Canoe Club Application for Membership 1st April 2020 to 31st March 2021
Data is maintained according to the club Data Protection / GDPR policy for one year after termination of membership and is used under legitimate interest to manage your membership of the club, participation in events and personal safety.
Main Applicant
Medical Conditions

If you have any relevant medical conditions that you feel the club should be aware of, please complete the separate medical details form (available on the website) – and be sure to advise the coach or trip leader before commencing any canoe activity.

Coaches

Please also complete and submit a separate coach information form (available on the website).
Last Name *
First Name *
Date of Birth *
Please enter as DD/MM/YYYY
British Canoeing No.
If applicable
Email
Phone
Preferred contact number, mobile or landline.
House Name/No. and Street
Town
Postcode
Emergency Contact *
Name and Number
Relevant Qualifications
e.g. First Aid, Paddle Awards, Coaching
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