* I give permission for the below named Student to take part in this activity.* I certify that the below named Student is capable of swimming 50m unaided.* I will inform the Rowing Club as soon as possible of any changes in the medical or other circumstances between now and the commencement of the Learn to Row Programme.* I agree to the student receiving any emergency medical, dental, or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present.* Any medical costs not covered by ACC or a Community Services card will be paid by me.* I agree to pay the non-refundable $200 fee for the Learn to Row programme in full before 1 July 2019.