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MCSRD Form for Families

PLEASE NOTE! we at WANT TO CANOE? can not give advice on whether you should participate in our activities, if you have any doubts or concerns please seek the advice of your doctor or other medical practitioner. We do not advise that you participate at WANT TO CANOE? if you are pregnant, have had recent surgery or illness, have a heart condition, high blood pressure, aneurysms or any similar conditions.

Medical Consent And Safety & Risk Declaration Form (MCSRD)

    All fields marked * are required



     /  / 

    MaleFemale


    YESNO


    YesNo

    YesNo




    Emergency contact details / Next of kin:


    YesNo


    YesNo


    We have been able to read and agree to the want to canoe? RULES AND REGULATIONS, COUNTRYSIDE AND RIVER CODE OF CONDUCT and COVID-19 OPERATING PROCEDURES*.


    YESNO


    Tick to accept

    Tick to subscribe


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