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.

COVID-19 – The COVID‐19 virus is a serious and highly contagious disease. The World Health Organisation has classified it as a pandemic. Our goal is to provide a safe environment for our clients and staff, and to advance the safety of our local community whilst working strictly within and adhering to all Government and Canoe Wales guidance.  The pandemic and subsequently the guidance are changing and the situation is fast-paced.  We will be constantly reviewing and updating our procedures and operation in accordance with any changes.

Medical Consent And Safety & Risk Declaration Form (MCSRD)

    All fields marked * are required


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    Emergency contact details / Next of kin:


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    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

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