Membership Application

Please complete the following details to submit a membership application.

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Address: *

Date of Birth

Home Telephone Number (including regional code) [no spaces] *

Mobile Telephone Number [no spaces] *

Work Telephone Number (including regional code) [no spaces]

Employer

Occupation

British Rowing Number (if available)

Do you have any Rowing Points?

Do you have any Sculling Points?

Do you have a Rowing Side Preference?

Have you got any Coxing experience?

Have you got any Coaching experience?

Do you require racking space for a boat?

Do you suffer from Asthma? *

Do you suffer from Epilepsy? *

Do you suffer from Diabetes? *

Do you suffer from Brochitis? *

Do you suffer from Blackouts? *

Do you suffer from Ear Problems? *

Do you suffer from Muscular Problems? *

Do you suffer from Skeletal Problems? *

Are you currently taking any form of medication? If so please state:

Are you able to swim 100m in sports kit? *

Have you ever completed a boat capsize drill? *

Emergency Information: Contact Name *

Emergency Information: Contact Home Telephone Number (including regional code) [no spaces] *

Emergency Information: Contact Mobile Telephone Number [no spaces] *

I AGREE TO ABIDE BY THE CLUB RULES AS LAID DOWN BY THE LOUGHBOROUGH BOAT CLUB. I UNDERSTAND THAT MEMBERS ARE RESPONSIBLE FOR THEIR OWN SAFETY AND MUST ALSO BE FAMILIAR WITH THE LOCATION OF ALL SAFETY EQUIPMENT. I AGREE THAT ANY REMUNERATION FROM SPONSORSHIP OR COMMERCIAL ACTIVITY RELATED TO ROWING IS THE PROPERTY OF THE LOUGHBOROUGH BOAT CLUB TO ADMINISTER. MEMBERSHIP COMMENCES ONLY WHEN APPROVED BY THE COMMITTEE. *

Membership Type *

Additional Information to support Membership Application

CAPTCHA Code: *

If you do not wish to complete an online application, please download one of the forms and post for the attention of the Membership Secretary to Loughborough Boat Club.

LBC Adult Membership Application Form (37.0 KiB, 391 hits)

LBC Junior Membership Application Form (46.5 KiB, 7,785 hits)

LBC Temporary Membership Application Form (41.5 KiB, 184 hits)

LBC Subscriptions Additional Guidance (25.0 KiB, 7,811 hits)

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Membership Application