Applying to join the club:

Type: Senior

To begin the process please enter the relevant details here:

Name *
Address *
Phone
Mobile
Email *

Medical Form

The following information is needed in case of emergency. Copies will be kept with the Club Captain and all relevant Coaches, and treated in strict confidence.
If you would prefer to complete a paper form please click here

Please state any known medical condition that inhibits strenuous exercise
Conditions

Asthma
Heart Condition
Diabetes
Back and lumbar pain or muscular spasm
Physical Disabilities (please discuss with your appointed coach)

This is not an exhaustive list - please note any other condition which may be relevant. If you have any concerns please consult with your doctor
Other conditions
Please state any allergies or other considerations you have/need should you be hospitalised.
Allergies
Other considerations
Next of Kin
Name *
Address
Relationship to Member *
ICOE Numbers *

Declarations

Please read each declaration and make sure you understand it, then tick the box if you agree with it.

Declaration Agree
As a rower I can swim 100 metres in clothes. Agree
I have either completed the Medical Form above, or I will complete a paper copy and post it to the Membership Secretary for safekeeping. Agree
I will abide by the safety regulations laid down by WARA (the Welsh Amateur Rowing Association). Agree
I have read, understand and agree to be bound by the Code of Conduct for Rowing Members:
PDF Icon (PDF 110 kB)
Agree
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Seconded by

Security

To aid us in our quest to defeat the robots, and with them their plan to take over the world one rowing club at a time, please answer the following security question:

Security Please enter this as a word:

What is nine minus four?