Membership

Membership type *

Use family membership where more than one person from the same household wishes to join. Please complete a form for each person joining.

Individual
Family
Trial

Applicant details

First name *

Surname *

Address *

Postcode *

Email address *

Contact tel *

Date of birth *

Membership category *

Category *

Junior
Senior

Emergency contact name

Emergency contact phone no

Emergency contact mobile

Trial/LTR period (six weeks)

At the end of the trial period or Learn to Row you will be contacted to confirm whether you wish to take up full membership of Newark Rowing Club.

Start date *

End date *

Welfare information

To be completed for JUNIOR applicants by parent/carer/guardian

Parent/carer details *

1	Name * Mobile Email
1	Name * Mobile Email

Add another parent/carer

Doctor's name

Doctor's address (incl postcode)

Including postcode

Doctor's phone number

Current medication

Known allergies

Is there anything else the Club should be aware of?

Reason for joining

Existing rower - transfer from another club/area
Existing rower - joining as a second club
New to rowing
New to rowing - completed an Explore Rowing course
Other (please give details)

Payment *

Bank: NatWest, Newark Branch
Sort code: 54-10-23
Account no: 97147443
Reference: "(Your surname) - 2022"

Own boat

Applies to privately-owned boats stored in the boathouse

Boat name *

Type *

Instalments

YesNo

Do you wish to pay by instalments

Details *

Please give details and we'll contact you

+ Add boat

Declaration

Upon acceptance into membership of the Newark Rowing Club I understand that rowing is undertaken at my own risk *

Upon acceptance into membership of the Newark Rowing Club I understand that rowing is undertaken at my own risk

I confirm that I have read the club's Safety & Emergency Plan *

I confirm that I have read the club's Safety & Emergency Plan

For the duration of my trial membership of the Newark Rowing Club I understand that rowing is undertaken at my own risk. *

For the duration of my trial membership of the Newark Rowing Club I understand that rowing is undertaken at my own risk.

I confirm that I am able to swim 50 metres in light clothing *

I confirm that I am able to swim 50 metres in light clothing

I confirm that I do not suffer from any disability or medical condition which may render me unfit for strenuous exercise

If a medical condition exists, this will not necessarily preclude you from membership/participation, but it must be declared below. Should you be in any doubt, advice should be sought from your family doctor before submitting this application.*

2022-2023 Membership

Application Form For New Members

Club policies

Privacy policies