Chesterton Rowing Club Corporate Session
The information collected using this form will be held in a spreadsheet on google drive and shared with club committee members, coxes, coaches and crew captains. It will only be used to support the effective and safe running of the club. Any queries email membership@chestertonrowingclub.org.
Date of course you wish to attend: *
Required
Your contact details
Surname: *
Your answer
First name: *
Your answer
Date of birth:
MM
/
DD
/
YYYY
Email: *
Your answer
Contact number: *
Your answer
Sharing your contact details
Please indicate whether you are OK with your email and mobile number being shared with club captains and membership secretary.
OK to share?
Your emergency contact details
Someone who could be contacted in case of emergency.
Name of Emergency Contact: *
Your answer
Contact number of Emergency Contact: *
Your answer
Any relevant health issues?
Your answer
Safety declaration
Rowing is a water sport and therefore a minimal swimming capability is needed or a life jacket must be warn.I am a competent swimmer who can swim at least 50 metres in light clothing, tread water for at least 2 minutes and swim under water for at least 5 metres.
Does the above declaration apply to you? *
Declaration
I understand that rowing is undertaken at my own risk. I understand that if I have put no to the safety declaration then I will need to wear a life jacket during the rowing experience day when in the boat. I confirm that I do not suffer from any disability or medical condition which may render me unfit for strenuous exercise and that I have declared any relevant health issues.
Does the above declaration apply to you? *
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