Day sail - Swarkestone Sailing Club - Oceans of Hope - 20 June 2024
application form for a day sail at Swarkestone Sailing Club,  Swarkestone Lakes, Derby DE73 7HW
Sign in to Google to save your progress. Learn more
Email *
What is your gender?
Clear selection
How did you hear about this event/Oceans of Hope UK?
Clear selection
Name
address
phone number
email address
date of birth
MM
/
DD
/
YYYY
Nationality
Emergency Contact name and phone number
Do you need to bring a carer with you?
Clear selection
Do you take any medication?
do you need to use a hoist to access the boat?
Clear selection
I agree for my image to appear in photos or videos on social media: Please remind us on arrival if you select no
Clear selection
Do you have any other medical conditions? If so, Are they under control?
Do you have any allergies?
I have MS or am accompanying someone with MS and wish to join the Oceans of Hope Challenge:  Swarkestone Sailing Club  .  Please be advised that by joining one of our voyages you consent to the following: Collecting and retaining your personal data by Oceans of Hope UK charity and its officers for the purposes of joining an organised voyage. The relevant persons and cloud systems will hold this data for the express purposes of communication and health and safety. The data is held in hard data or digital format. You have rights of rectification, erasure, restriction of processing, data portability and objection. Should you wish to exercise these rights please request to contact the data protection officer. By ticking yes on this form, I declare that any medical conditions are declared and under control. .I recognize that sailing is an activity that has an inherent risk of damage and injury and I am participating entirely at my own risk. By participating, I forever release, discharge and waive any and all actions, suits and claims whatsoever against Sailing Sclerosis, Oceans Of Hope UK, the boat owners or The Event Organizer for any liability, loss, damage and injury (including bodily injury, personal injury and death) to any person, property or boat (i) sustained in conjunction with or prior to, during, or after each sail; or (ii) arising, relating or resulting from use of the facilities or participation in a sail or associated activities, to the fullest extent permitted by UK law. I further release Sailing Sclerosis, Oceans of Hope UK, the boat owners and The Event Organiser from any claim whatsoever on account of any of their staff/crew/or any other participant giving assistance, aid, care, advice, rescue, first aid, treatment or services.
Clear selection
any other information we need or requests you have
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy