PERSONAL DETAILS



UK EMERGENCY CONTACT DETAILS


BRITISH CANOE UNION (BCU) MEMBERSHIP


ARE YOU ALREADY A FRIEND OF CREMORNE?


    • QUALIFICATIONS




    MEDICAL CONDITIONS


    DO YOU HAVE ANY CONDITIONS WHICH MAY IMPAIR YOUR ABILITIES WHILE CANOEING OR KAYAKING OR REQUIRE SPECIAL CONSIDERATION?

    Please include anything that may be relevant, e.g. disabilities, medication taken (including details of what, when and how much), any known allergies, information on conditions such as diabetes, epilepsy, asthma, any recurring injuries/ailments (e.g. back problems, dislocating shoulders)



    DATA PROTECTION ACT


      These details will be held in electronic form and are for Club use only to assist Club event organisers and leaders. You have the right to view the data held about yourself. Data will be deleted on cessation of membership. Please tick one or more of the following boxes if you object to the information being distributed amongst Club members.



    PAYMENT METHOD


     

    DECLARATION


      Please read the following carefully and sign to state that you have read, understood and agree to the declarations. Feel free to discuss any concerns with a Committee member

      1. I confirm that I am over 18 years of age and that I can swim 50 metres in light clothing
      2. In joining Chelsea Kayak Club (“the Club”) I agree to abide to the rules of the Club (the Club Constitution), the Club Code of Conduct, Club Operating and Safety Procedures, the Club Equality Policy and other policies and procedures as advised by the Club Committee from time to time
      3. I agree not to do anything that could bring the name of the Club, Cremorne Riverside Centre, or the sport into disrepute or injure or damage any other person or property
      4. I understand and accept that session / trip leaders may prevent me from paddling if they believe me to be unfit to do so at the time or not of sufficient experience or skill to handle the conditions or if to allow me on the water may jeopardise the safety of myself or others, or place unnecessary risks on others
      5. I have declared any conditions that might affect the safety of myself or other members when canoeing or kayaking and agree to relevant details and my UK emergency contact details being discreetly shared with Club session / trip leaders
      6. I understand and accept that canoeing and kayaking are assumed risk, water contact sports that may carry attendant risks including injury and death. I am aware of and accept these risks and will be responsible for my own action and involvement
      7. If I borrow or hire any equipment I understand it is my responsibility to check that it is fit for purpose for the activities I will be using it for. I understand that I am empowered to ask questions if in any doubt of the fitness of any equipment
      8. I understand that it is my responsibility to inform the Club of any changes to the information supplied on this form