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South Wales Coastal Rowing Club
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Medical Form
First name
Last name
Email
Date of Birth
I agree to myself/my child being given medical, surgical or dental treatment including general anaesthetic and blood transfusion,as considered necessary by the medical authorities present.
No
Yes
Do you suffer from any allergies:
No
Yes
Do you suffer from any health condition, or require any medicaton:
No
Yes
Please specify anything we should know about:
I confirm that I can swim at least 50m clothed, and declare that I am in good physical health
I am responsible for travel to and from the club, and ensure that any changes o circumstances will be notified to the club.
I consent to the use of photography and film as part of training and competitive activity.
I have read and understood all information related to rowing qualifying as membership of Barry Coastal Rowing Club
Please sign
Submit
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