Manvers Waterfront Boat Club /
PADDLER REGISTRATION FORM

Please complete all sections including email addresses as this makes it easier for us to keep you updated with club news & developments

PERSONAL DETAILS
Name: / DOB: / Member No.
Address:
Post Code:
Telephone / Home: / Mobile:
Email:
EMERGENCY CONTACT
Name: / Relationship:
Address:
Post Code:
Telephone / Home: / Mobile:
Email:
PREVIOUS EXPERIENCE
Please give details of previous paddling experience and qualifications/standard reached:
MEDICAL INFORMATION
It is important that the club should know whether you suffer from any illness or medical condition which may be relevant to your participation in club activities and events. Please use the space below to state in confidence any health or other matters of which we should be aware.
DECLARATION
  • I acknowledge that I am aware of the purpose for which the data set out above is to be held, used and disclosed by Manvers Waterfront Boat Club (“the Club”) and that I consent to the holding, use and disclosure of this data.
  • I am responsible for completing this form accurately and including all details that might be needed by the Club. I am responsible for any errors and omissions to personal information and accept liability for any direct or indirect consequences that might arise from these errors or omissions.
  • I confirm that I am aware of the MWBC Paddlesport Operating Procedures and agree to abide by them in full.
  • I understand that the Club accepts no responsibility for loss, damage or injury caused by or during attendance of activities/events organised by the Club except where such loss, damage or injury can be shown to result directly from the negligence of the Club.
  • I understand that the Club is insured for its civil liabilities and that there is no personal accident cover for members.
  • Iconsentthatphotographsorvideotakenbyauthorisedpersonnelofmyself/myson/mydaughteratclubeventsmaybeusedtopromote the Club and/or Trustandhelpimproveperformance.Please circleif“No
  • Iconfirmthatmyson/daughterarenotsubjecttoanycourtorderprohibitingpublicationoftheirimage.

Please sign below to indicate your acceptance of the above and that the information provided is correct. If the paddler is Under 18, this form should be signed by a parent or legal guardian.

Signed / Date:
Print Name / Relationship to Paddler

RULES FOR INDEPENDENT PADDLING AT MANVERS LAKE

To be deemed competent to paddle independently at Manvers Lake, club paddlers must;

  1. Be 16 years of age or older
  2. Either hold a BCU 2 Star Award (or better) in the type of craft to be paddledor successfully complete the “MWBC Paddlesport Basic Competence Test”in the type of craft to be paddled.

The club strongly recommends that all paddlers attend a Foundation Safety & Rescue Training course.

Paddlers are responsible for carrying out their own dynamic risk assessment prior to going on the water (i.e. decide whether the conditions are suitable for your personal paddling experience and ability). If in doubt, do not paddle!

Paddler competence in canoe or kayak can be assessed by any club coach Level 2 or above who must then sign the appropriate endorsement at the bottom of this page. Paddler competence on SUP can be assessed by any club coach who has also attended a SUP Discipline Support Module.

Note: “Independent paddling” means paddling without safety cover being provided by the club. It does not mean solo paddling (i.e. paddling alone) – see below.

RULES FOR SOLO PADDLING AT MANVERS LAKE

Solo paddling (i.e. paddling alone) is not allowed at Manvers Lake unless the individual concerned;

  1. Is a competent to paddle independently (see rules above)
  2. Has signed a declaration stating that they are aware of, and accept the additional risks of paddling alone
  3. Has been granted permission to paddle solo by the club committee

I agree to abide by the club rules for independent paddling and fully accept responsibility for managing my own safety when paddling outside of club sessions.

Signed / Date:
Print Name / Relationship to Paddler

ENDORSEMENT

The named paddler has met the minimum standards required by Manvers Waterfront Boat Club for paddling the specified craft at Manvers Lake without supervision. The authorising coach must observe the paddler successfully complete a “Basic Competence Test” in the specified craft or see the original 2 Star Award certificate. Authorised paddlers with FSRT may also supervise up to four other paddlers.

Authorising Coach
Endorsement (Type of Craft) / Date / Name (please print) / Signature
Closed Cockpit Kayak (CCK)
Open Cockpit/ SOT Kayak (OCK/SOT)
Open Canoe (OC)
Stand Up Paddleboard (SUP)
Supervision of Other Paddlers (FSRT)

MWBC Paddlesport Registration Form v0.3