Intermediate Membership Purchase » Helford River Gig Club

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Intermediate Membership for £45 (1 year membership, non-recurring).

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Pronouns

Gender (Please select) *

Date of Birth (dd/mm/yyyy) *

Mobile number (visible to other members)

Address 1 *

Address 2 *

Address 3

Address 4

Postcode *

Rowing Details

Membership type (if this is incorrect, please email membership@hrgc.co.uk) *

Age Category (Please select. Non-rowers - please use final category) *

Rowing Interest (Please select) *

Emergency Contact Information - all rowers MUST accurately complete this section

Name of emergency contact

Relationship of emergency contact to you

Phone/mobile numbers for emergencies (Do not put "Same". Rowers must complete. Separate multiple numbers with a comma.)

Address of your emergency contact. Rowers MUST complete.

Your Membership Status

Membership Status

Health & Injury

Do you suffer from, or have you ever suffered from a medical condition which might make taking part in potentially strenuous exercise dangerous to your health? *

If you do or have suffered from a medical condition which might make taking part in potentially strenuous exercise dangerous to your health, have you consulted a medical professional for their opinion as to whether rowing is suitable for you? *

I understand that I am rowing at my own risk, and it is my responsibility to inform the HRGC of any current conditions physical or mental health conditions that could impact my safety.

Do you have any known severe allergies that would require immediate medication, e.g. Epipen *

I understand that it is my responsibility to bring any required medications with me, such as Epipen, and to alert my cox to these items.

Important Club Documents

Please confirm that you accept the club constitution (PDF Opens in new tab)

Please confirm you have read and understood the Health and Safety Document (PDF Opens in new tab)

Please confirm you have read, understood, and accepted the Selection Process document (PDF opens in new tab)

Billing Method

Credit or debit card

Billing Address

Street Address *

City / Town *

State / Province *

Postal / Zip Code *

Country *

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