Marlow Canoe Club

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					                                           Marlow Canoe Club
                                         Membership Application Form
To be eligible for membership you will need to:
1. Have attained 10 years of age.
2. Be able to swim at least 50 meters in the river when fully clothed

Name                                                                                  Date of Birth

Address                                                                  Interests      (please tick)

                                                                         Marathon                  White Water

                                                                         Slalom                    Surfing

Post Code                                                                Polo                      Recreation

Telephone No:                                                            Sea                       Inland Touring

                                                                         Freestyle                 Open Canoe

                                                                         BCU Membership No.

Do you suffer from any disability which might affect canoeing? (Please detail)
(This may not bar you from membership)

Coaching Qualifications

Canoe Qualifications/Awards
(Include Life Saving Awards)
 (Please give dates)

Subscription Fees (to 28/2/2008)
       Senior                                                                £42.00
       Junior (under 18 yrs or in full time education)                       £23.00
        Family (all members at same address)                                 £65.00
        (Please complete separate form for each member)
      Boat Storage (see notes below)                         £19.00 per boat
     • Please check first with the Committee that space is available
     • Please list overleaf the type and colour of each boat to be stored,
      Total Payable (Please make cheques payable to Marlow Canoe Club)                                  £

  I agree to abide by the rules and regulations of the Marlow Canoe Club and I understand that the club its
  officials or anyone acting for or on behalf of the club cannot be held responsible for any loss theft of
  personal belongings howsoever caused. I further understand that if any boat is left on club premises for a
  period in excess of 12 calendar months without payment for storage charges having been made to the committee
  member responsible for boat storage, the Marlow Canoe Club reserve the right to dispose of the boat in any
  way decided by the committee .I consent to my personal details as recorded above being stored on computer or on any other
medium to be used for Marlow Canoe Club business only. (Your rights under the Data Protection Act are not affected.)

   Signature                                                                Date

   Signature                                                                Parent or Guardian (if applicant under 18)

Please send to:                             Roderick Edmonds            135 High St   Eton  Windsor SL4 6AR
Membership Secretary                        Tel 01753 671389         

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