Bude Canoe Club Membership Form

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Bude Canoe Club Membership Form - 2023

Annual Membership Questionnaire

Please answer all questions, if you have no answer for a question please type N/A

NOTE: Information given on this form will be entered in to the Club Membership database and used for Club administration only. If you prefer not to have your details recorded on electronic media, please advise the Club Secretary separately. If provided, your email address will be used for distributing Club Newsletters, details of Club trips and other events; please ensure your details are printed clearly, with correct syntax and kept up-to-date.

Name *

Date Of Birth *

YYYY

British Canoeing Membership Number (if applicable)

Home Address *

Home Phone Number *

Mobile Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Home Number *

Emergency Contact Mobile Number *

Type of Membership *

When applying for Family Membership, please complete details of additional people at the end of this form. Families can consist of 2 adults and 1 child, or 1 adult and 2 children. Juniors are up to the age of 18 years old. BC stands for British canoeing, if you are not a member please select the option of Non BC Member.

Paddling Experience (Years) *

BC Personal Awards *

Please give details of any British Canoeing awards held. e.g. 3 star surf

BC Coaching Awards *

Please give details of any British Canoeing coaching awards held

BC Safety Training *

Please give details of any British Canoeing safety training held

First Aid Certificate *

Please give details of any first aid qualifications held, along with the issuers name.

Others (Please Specify) *

Please give details of any other awards or qualifications that you feel are relevent to your paddling.

Medical Notes *

Please give details of any known medical conditions, allergies and medication currently taken.

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