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 22nd of February.
After filling out this form please pay £160 (if paying for only term 1) or £990 (if paying for all 3 terms at once) to the following details : account no. 60461644 Sort code 20-39-53 and email LTRcoach1@gmail.com to confirm payment has been made.
Email address *
Name *
Your answer
Contact number *
Your answer
Home address *
Your answer
Age *
Gender *
Have you suffered from an injury in the last six months? *
If you answered yes please give details
Your answer
Have you suffered from illness which required you to visit the doctor in the last 6 weeks? *
If you answered yes please give details
Your answer
Are you currently having to take any medication *
If yes please give details
Your answer
Have you/do you suffer from any heart conditions *
If yes please detail
Your answer
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.
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