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Club Membership Registration Form

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    Skip If N/A
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    Skip If N/A
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    Do you suffer from any health or medical issues that may affect your riding, ability to safely participate in a ride, or that may affect others on a ride or during any Club activity or do you take frequent medications we should know of in case of emergency?
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    Please provide information about what to do if your health or medical issue arises during a Club activity (eg apply EpiPen, call ambulance…): 
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    Please provide details of regular medication you take, dosage and frequency: 
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    If you take or carry medications with you during a Club activity, where do you carry it, (eg in your ski or in your ride clothing)?
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    Please Select
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    • Comprehensive
    • Third Party
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    I agree to abide by the Club rules and the Club’s Code of Conduct, as amended from time to time. I agree to follow reasonable instructions given by the Club during Club activities for my safety and that of other participants.  I acknowledge that operating any watercraft can be dangerous and if I choose to participate in any Club activities, I do so at my own risk, as do any passengers who accompany me.  I have read the Club’s Release and Indemnity and acknowledge it forms part of my application for, or renewal of, my Club membership.
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