Avon County Rowing Club Junior Membership Application Form
Please complete this if you would like to join the junior section of Avon County Rowing Club. When filling in phone numbers please include a space (so 0117 12346789 not 011712346789).
Young person's details
Surname
Your answer
First name
Your answer
Home Phone Number
Your answer
Mobile phone number
Your answer
Email
Your answer
Date of birth
Your answer
Address (line 1)
Your answer
Address (line 2)
Your answer
Post town
Your answer
Post code
Your answer
Parent / carer's emergency contact details
Please provide contact details for an adult who may be contacted in the case of an emergency.
Emergency contact name
Your answer
Emergency contact phone number
Your answer
Further Information
Can you swim 100m dressed in rowing kit suitable for cold weather?
Please list any medical issues we should be aware of? Please declare any condition that might cause you a sudden loss of control while rowing/sculling, cause you general difficulty while rowing or that you think we should be aware of.
Your answer
Subscriptions
Please indicate how you will be paying your subscription. If you choose 'Direct debit' you will be sent an email inviting you to set this up through 'GoCardless'.
I will be paying my subscription by:
Parent/carer declaration
Name
Your answer
Home phone number
Your answer
Mobile phone number
Your answer
Email
Your answer
Declaration
BY SUBMITTING THIS FORM ELECTRONICALLY I WISH TO APPLY FOR JUNIOR MEMBERSHIP OF AVON COUNTY ROWING CLUB FOR MY CHILD/CHILD IN MY CARE.. I AGREE THAT MY CHILD/CHILD IN MY CARE AND I WILL ABIDE BY THE CLUB RULES AND THE BRITISH ROWING CODE OF CONDUCT AND I HAVE READ AND ACCEPT THE CLUB’S SAFETY POLICY. I UNDERSTAND THAT THE CLUB HAS A CHILD PROTECTION POLICY IN PLACE.

I AGRRE TO MY CHILD/CHILD IN MY CARE TAKING PART IN THE ACTIVITIES OF THE CLUB. I ALSO AGREE THAT MEMBERS OF THE CLUB MAY TAKE PHOTOGRAPHS (STILL OR MOVING) OF MY CHILD/CHILD IN MY CARE AND THAT THESE MAY BE USED FOR COACHING, PUBLICITY OR ON THE CLUB'S WEBSITE.

I CONSENT TO THIS INFORMATION BEING STORED ELECTRONICALLY TO AID ADMINISTRATION AND TO THE CLUB’S REGISTERING MY CHILD/CHILD IN MY CARE'S NAME AND EMAIL ADDRESS WITH BRITISH ROWING AS A NEW ROWER IF RELEVANT.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms