Neyland Rowing Club

Membership renewals

EDIT ME

If you prefer you can download a printable form from this site.

Subscription Amount
Adult £30.00
Senior citizen £25.00
Junior £17.00

Membership form

Name:
Date of birth (if under 18):
Telephone:
Mobile:
Address including postcode:
Email:
Facebook user?:
All inclusive of WSRA affiliation fee of £15 adult / £6 Junior Please note: Members are required to join the Yacht Club
Adult (£30.00):
Senior citizen (£25.00):
Junior (£17.00):
Emergency contact
Name:
Telephone:
Mobile:
Address including postcode:
Swimming proficiency
Proficient at swimming
Juniors under 18 and non-swimmers – mandatory to wear a lifejacket at all times on the water
yes no
Health and fitness
Statement of medical conditions: I have listed all medical conditions that the club officers need to be aware of on the medical assessment form or will do so as soon as possible
Declaration of fitness: I declare that I am of sufficient physical fitness to row/cox
Do you have a disability
If so please, fill out the fields below.
yes no
Do you consent for us to perform an individual risk assessment to assess your requirements? yes no
Do you have any special requirements we should be aware of, other than already stated? yes no
Please specify any special requirements which would assist with your Individual Risk Assessment::
Declaration
By signing this, I can confirm that I have read and understood the Club’s Code of Conduct and associated documents, Risk Assessments and Safety Rules.
I agree to abide by all the rules of Neyland Rowing Club and the WSRA
I understand that photography and video recording may be used during training and competition.
I consent to my personal data being held by club officials and used for the purpose of contacting me regarding club business and events
I agree
Swimming proficiency and health / fitness certified by parent or guarding if approproate. Please state name, address and relationship to applicant
 
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