SCHOOL REGISTRATION & DECLARATION FORM

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In order to attend rowing sessions with Team Keane Sculling School a Registration & declaration form MUST be completed for each child. Without prior receipt of this we will not be permitted be to allow any juniors to participate in any rowing related activities.

Email *

First Name *

Surname *

Home Address

Postcode

Age *

Date of Birth *

YYYY

School Year Group *

Guardian Name *

Guardian Contact Number *

Guardian Email address *

Primary Emergency Contact *

Secondary Emergency Contact

Travel Declaration *

Does the participant have permission to travel to and from the activities alone?

Yes

Code of Conduct and Club Safety Agreement *

While on site & on the water the Participant must agree to follow the club safety rules. By signing this declaration juniors and guardians agree to adhere to the TK and British Rowing Code of Conduct at all times and confirm they have reviewed all relating documentation available on the Team Keane website

Yes

Photography Policy *

Photos may be taken from time to time for advertising, use on our website or social media sites.

By attending our activities you are acknowledging this and agreeing to photographs of your child being used for these purposes.

Please note Photos will never be used in conjunction with names or other personal information relating to the rower.

I acknowledge that photos may be taken from time to time and consent to their sole use as stated above.

Required

If you would like to receive our clubs regular news letter and information about up and coming events with Team Keane please confirm here? Plaese note you can unsubscribe to these publications at any time.

Medial and Personal Health Declaration *

Rowing and its associated training can be a strenuous activity. By completing this declaration you are confirming that the junior is in good health and has no medical or physical condition which may precluding them from heavy exercise, if there is any doubt, consult your doctor before signing this declaration. The guardian and junior have a duty to declare any condition that might put them or others at risk at this time or any time in the future.

The participant is fit to row & has no additional medical requirements

Required

Please state the name, address & telephone number of the Participants Doctor.? *

Additional Medical Conditions and Medication *

Please list any condition & special requirements below. It is your duty to personally advise the Coach before your first session if there is any condition they should be aware of in the event of an emergency. i.e. asthma, diabetes etc.…The Participant MUST bring any required medication to EVERY session. Without it they will not be allowed in the session.If none are required then please answer with 'nil'.

Swimming Ability Declaration *

For safety, it is important that the participant is a competent swimmer. At a minimum, they must be able to swim 50 meters in light clothing. If they cannot meet this requirement, they must wear a buoyancy aid at all times when in a boat. It is their responsibility to request a life jacket at each session

The Participant can swim 50 meters in light clothing

The Participant will require a buoyancy aid to row

Required

Final Declaration *

I have read and understand all of the conditions stated on this declaration and confirm that all the information I have added is correct & I understand that Team Keane will not be held responsible for any incorrect information I have added to the form.I understand that it is my responsibility to advise Team Keane in Writing to admin@teamkeane.com should any of the information I have provided needs amending or updating at any time from the submission of this form.

I agree to the statement above

Required

Please confirm the School your child attends *

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