Membership Application

1. Personal Details

Are you an existing member of the club? *

Yes

Title *

Forename *

Surname *

Address *

Postcode *

Telephone

Mobile *

Date of Birth *

Email *

Do you consider yourself to have a disability? *

Yes

Please inform your coach of any information which may be relevant for them to know

Emergency Contact Details

Contact Name *

Contact Number *

Relationship to Paddler *

2. Declaration

By ticking the boxes below you confirm that:

I am able to swim a minimum of 25 metres fully clothed. *

I have read and understood the rules of the club and I agree to be bound by them. I have also read the club's Child and Vulnerable Adult Protection Policy and the Code of Conduct. *

The details given on this form are correct to the best of my knowledge and I will keep the club informed immediately of any changes. I accept that information given on this form will be kept on computer and used for club purposes, e.g. trip planning; that they will be provided to Paddle UK as part of the club's affiliation, and for anonymised grant monitoring; and that my details will not be passed to any further third party without my consent. I understand that my details will be retained for 3 years following termination of my membership, following which all personal data except my name will be deleted. *

I do not object to photography/filming taking place during club activities for use on the club's website and publicity.

I understand that my liability is limited to £1 in the event of Norwich Eagle Canoe Club Limited being wound up. *

I accept that all communication from the club can come to me by electronic means. *

Note: Applicants under the age of eighteen must also complete the parent/guardian consent section below.

3. Membership Category

Membership type applied for * If applying for the unemployed/low income rate, please bring your benefit form (e.g. Universal Credit, Housing Benefit document) to your first session.

Are you a member of Paddle UK? *

Yes

If you are not a member of Paddle UK, an additional insurance fee applies (£3 adult / £2 youth).

Paddle UK membership number

Paddle UK expiry date

4. Parent / Guardian Consent

This section must be completed for all club members under the age of eighteen by a parent or adult with parental responsibility. The consent will be valid for all club nights, one-day club meetings, trips and events during the year as advertised in the published programme. A separate consent form will be required for each overnight activity.

If the applicant is aged 18 or over, you may skip this section.

I have read and have a copy of the club's Child and Vulnerable Adult Protection Policy.

I confirm that I have parental responsibility for the young person named above and that all details given on this form are correct to the best of my knowledge.

I agree that they can become a member of Norwich Eagle Canoe Club Limited and shall be subject to the authority, guidance and discipline of the coach in charge of any event or meeting.

I do not object to photography/filming taking place during club activities for use on the club's website and publicity.

If they are having any medical treatment at the time of any club activities, I agree to give relevant details to the coach in charge.

In the event of illness or accident requiring emergency hospital treatment, I authorise the coach in charge to sign on my behalf any written consent required by the hospital authorities if the delay required to obtain my own signature is considered inadvisable by the doctor concerned.

I accept that information given on this form will be kept on computer and used for club purposes, e.g. trip planning; that they will be provided to Paddle UK as part of the club's affiliation, and for anonymised grant monitoring; and that my details will not be passed to any further third party without my consent. I understand that details will be retained for 3 years following termination of membership, following which all personal data except the name will be deleted.

Parent / guardian name

Address (if different from above)

Postcode

Additional Comments

Any questions, comments, or additional information

Norwich Eagle Canoe Club Limited is affiliated to Paddle UK (000141/A) and operates to the standards/guidelines required by Norfolk County Council and relevant National Governing bodies.

Application for Membership 2026/2027