FRCC Kayak & Canoe Course Booking Form Spring/Summer 2019
A separate form is required for every family member on the course. You can pay for all in one payment.
Any queries e-mail: dickstaff@btopenworld.com
Please use the submit button at the bottom of the page when you have finished.

Please select the desired course from the options shown below.

Email address *
Junior & Adult Paddlesport Courses
Surname *
Your answer
Forename *
Your answer
Address *
Your answer
Postcode *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Sex *
Disability *
Required
Date of Birth *
MM
/
DD
/
YYYY
If under 18
Parent or Guardian Name
Your answer
Parent phone number
Your answer
Parent E-mail
Your answer
Fee *
Please enter the amount. This form is for one person. A separate form is needed for each person.
Your answer
Payment Details:
If your fee is paid by another person please put their full name in the Payment Reference Code Box.

BACS: When making the transfer you must include a reference code which includes at least the first 5 letters of your surname (or who you are paying membership for) plus an CK at the end to indicate that you are paying for Kayaking.

Payment should be made to the club Account Number: 6870 5185 Sort Code: 08-92-50 Co-operative Bank.

CHEQUES (payable to 'FRCC') please write cheque in the box and post or hand in cheque to FRCC, 22 York Avenue, Oxford OX3 8NS

Payment Reference Code
If someone else has paid your fee enter their name as a reference.
Your answer
Date of Transfer
MM
/
DD
/
YYYY
The Small Print.
All payments are 100% non-refundable. This applies to all cancellations including but not limited to cancellations arising from a change in personal circumstances.

I agree:
* to seek out and conform with the club’s rules, bye‐laws and regulations in force and abide by the decisions of the club
* to adhere to the British Canoe Union water safety code and take account of safety on and off the water at all times including checking the weather, river conditions and the condition of the boat and equipment being used to ensure that it is as safe as possible prior to setting out
* to allow my details to be held on the club’s membership database and be used during the running of the club
* to notify the membership secretary if contact details change
* to join British Canoe Union (www.bcu.org.uk) if I require personal insurance cover or wish to race
* that my health is my own responsibility and that I have read and will comply with the health note below
* that I am water competent in a buoyancy aid

Health Note: Regular exercise may include some risk. Before beginning a regular exercise programme, you may wish to consult your doctor, especially if you are over 40 years of age and have not recently done any regular exercise; smoke; have high blood pressure/cholesterol; have any signs/symptoms of any disease; are recovering from a serious illness or surgery; experience chest pains/dizziness/loss of consciousness; have a pacemaker or another implanted electronic device; have any other concerns about your ability to undertake regular exercise. Please let your coach or captain know if you are under doctor’s advice regarding exercise or if there is anything else they should be aware of in the interest of your health and safety.

Accept Terms and Conditions. *
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Please add comments or extra information here.
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