top of page
South Wales Coastal Rowing Club
Home
About
About The Club
Contacts
Membership
News
Club Documents
Equality Policy
Safeguarding Policy
Row With Us
Coastal Sea Rowing
Coastal Scull Rowing
Indoor Rowing
Learn to row
Club Sessions
Membership Form
Rowing Medical Form
Sharing of Information
Emergency Details
Events
Contact
Members
More
Use tab to navigate through the menu items.
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 in open water, 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 South Wales Coastal Rowing Club
Please sign
Submit
bottom of page