Reading Canoe Club

Reading Canoe Club

Junior Course Registration

I am participating in the following course at Reading Canoe Club:

(Please tick the relevant course)

4 weeks
Start Dates:
Thursday 18th June 15:00 FREE
Saturday 27th June 11:00 £50

Fee includes temporary membership of the club for the duration of the course sessions.

Please complete all details below in BLOCK CAPITALS:

M / F / Date of birth: / / / / / Jun
First name:
Surname:
Address:
Postcode:
Home phone: / Mobile:
Email:

1.  I have read and agree to abide by the Club rules for the duration of the course.

2.  I have read and agree to abide by the club’s safety policies.

3.  I am able to swim 50m with a buoyancy aid in canoeing clothing.

4.  I understand that all members or other persons attending club tours or meets do so at their own risk and neither the Club nor its officers can accept liability for any loss or injury of any kind.

Signed: ______(parents should sign for under 18s) Date: ______

Please return to: Course Enquiries, Reading Canoe Club, The Warren, Caversham, Reading, RG4 7TH or email to

Please note that for juniors a separate consent form will be required before the course commences.

The current Reading Canoe Club Rules and Water Usage & Buoyancy aid policies are available under our “the club” page at www.reading-canoe.org.uk/ and on the notice boards at the club.

PARENTAL CONSENT FORM

Important - This form should be completed by the parent or guardian if a participant or club member is under the age of 18.

Name of Participant / Participant DOB
Address of Participant
Postcode / Contact numbers
Home
Mobile
Next of Kin (parent)
Name
Address
Postcode
Email: / Contact numbers
Home
Work
Mobile
Doctor
Name
Address
Postcode / Contact numbers
Home
Work
Mobile
Please give details of any medical conditions, disabilities e.g. diabetes, epilepsy etc. or allergies to medication, plasters etc.
Please give details of any current medical treatment including medication

Signed ...... Parent / guardian Date ……………………