JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Consent Form - Open Day 27th May 2024
It is club policy to capture data of participants to comply with insurance and show due diligence.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Paddler
*
Your answer
Parents/Guardian Name
*
Your answer
Contact Email
*
Your answer
Age of paddler if under 18
Your answer
Post Code
*
Your answer
Emergency Contact
*
Your answer
Emergency Contact Number
*
Your answer
How did you hear about our open day?
Your answer
Medical & other additional information..
Please share detail of any relevant medical conditions e.g. Epilepsy, asthma, dyspraxia, hearing impairment, behavioral needs..
Your answer
Declaration of Consent:
Your safety is very important to us, but you should be aware that all sporting activities carry risks
;
(please tick the
boxes below to confirm you have read and agree with following)
:
*
I confirm that I/my child can swim a minimum of 25m
I agree that I/my child will abide by the instructions of BDCC coaches whilst on the water or on club premises. We will not hold the club or committee liable for any, personal injury, loss or damage to clothing or equipment unless such injury is the result of negligence by BDCC. The club is insured in respect of its legal liabilities.
Emails will be held for up to 3 months for a follow up email. The Club may share information with Paddle UK formerly British Canoeing if required to do so by Paddle UK. The Club will not share my details with other third parties without my prior permission
I confirm that I consent to images of me/my child participating in club activities being used for club publicity, including on the club’s website.
Required
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
Forms
