Name

Medical Information

Do you have a disability the course leader should be aware of ?NoYes

Do you have any medical conditions, take any medication or are undergoing any current medical treatment that could limit or affect your involvement in the activity ?NoYes

Are you allergic to any medication ?NoYes

Consent

Please accept the following statements:

I understand the activities provided by Wargrave Boating Club are of an adventurous nature. I acknowledge that adventurous activities carry an element of risk and therefore accept the need for responsible behaviour, including listening to and following safety instructions.

I have declared all relevant medical information in the Medical Information section above.

I have read the Information of Weil's Disease.

In the event of an emergency I agree to any medical treatment, including anaesthetic, as considered necessary by the medical authorities.

I declare that I am able to swim at least 50 metres or more than ½ way across the river at Wargrave and I am confident in river water.

I will provide my own well-fitting buoyancy aid for kayaking and SUP courses.

Submit