This form collects personal information that CST deem necessary to ensure the participant's safety during CST activities. Our security information policy allows us to store your completed forms for 90 days following receipt of the form or completion of the course, whichever is later. For more information please contact admin@canoesportstrust.org.uk
Participant's Full Name
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Participant's Date of birth
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Participant's gender
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Female
Male
Prefer not to say
Does the participant have any allergies?
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YES
NO
Please provide details of any relevant allergies that were declared above
Please provide any additional relevant medical conditions including coping strategies if they have a neurological condition.
Please provide details of any medication provided for use during the course
*
If your child has a specific dietary requirement such as no dairy, gluten, nuts or other allergens we need to know this in advance. Please specify if it is an allergy or an intolerance plus any other relevant requirements such as religeous restrictions.
Any further information you think we need to know about
Address and postcode
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Emergency contact name
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Emergency contact number
*
Declaration: The participant agrees to follow the directions of the CST Group Leaders, Instructors and Coaches and will always demonstrate reasonable behaviour towards their own and other's safety. They understand that CST may exclude any person acting against its interests..
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YES
Declaration: I consent to the participant taking part in canoe or paddlesport activities with the Canoe Sports Trust. They are water confident in light clothing and have no undisclosed medical conditions that might endanger themselves or others. I will inform the Base Supervisor or Activity Leader on arrival of any change to the above medical conditions.
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YES
Declaration: I accept the CST Registration Terms that are available on request.
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YES
Submit
Should be Empty: