Consent Questionnaire

To enquire about membership, please use the contact tab or complete this form and we will get back to you.

In any event, please complete the questionnaire before your first rowing session as it is our consent form.

Access: 
Details
This is required by the Welsh Sea Rowing Association
Emergency contact
Medical information
Please select

By submitting the form I have read understood and completed the questionnaire and acknowledge that there are risks and dangers inherent in rowing and physical exercise and duly undertake the activity at my own risk. Moelfre Rowing Club and its members shall not be held liable for any personal accident, accidental damage or loss of life while I am undertaking any rowing or rowing related activities.

If the applicant is under 18 years old, I certify that the applicant has parental consent to undertake club activities.

Dr Simon Burnell is the data controller for the purposes of the Data Protection Act. The information provided on this form will be used for Club data purposes. It can be disclosed to other officers, coaches or volunteers within the Club and to other relevant agencies as necessary. Through joining, I agree for the Club to hold the relevant information.

In order to promote the activities of Clwb Rhwyfo Moelfre, the Club will take, store and reproduce photographs of members and others participating in activities associated with the Club. It is essential that any Member who does not authorise for photographs to be taken, used and reproduced confirms their request in writing to the Club Secretary.