Henley Rowing Club Junior learn to row registration form
Please fill out this form in order to register for the junior learn to row course beginning on the 30th of March.
After filling out this form please remain patient, an email with further information will be circulated closer to the course start date detailing payment information.
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Email *
Parent /Guardian name *
Parent / Guardian Email address *
Parent / Guardian Contact number *
Home address *
Name of child *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Child can swim 100m *
Required
Have they suffered from an injury in the last six months? *
If you answered yes please give details
Have they suffered from illness which required you to visit the doctor in the last 6 weeks? *
If you answered yes please give details
Are they currently having to take any medication *
If yes please give details
Have they/do they suffer from any heart conditions *
If yes please detail
Anything else which you feel should be noted please detail here
Please select which training times are preferred (These will be first come first served) *
A copy of your responses will be emailed to the address you provided.
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