Henley Rowing Club adult learn to row registration form
Please fill out this form in order to register for the adult learn to row course beginning on the 19th of February.
After filling out this form please remain patient, an email with further information will be circulated closer to the course start date detailing payment information.
Email address *
Name *
Contact number *
Home address *
Age *
Gender *
Have you suffered from an injury in the last six months? *
If you answered yes please give details
Have you suffered from illness which required you to visit the doctor in the last 6 weeks? *
If you answered yes please give details
Are you currently having to take any medication *
If yes please give details
Have you/do you suffer from any heart conditions *
If yes please detail
Please pick which training times you would like (these will be first come first served)
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy