Jersey Rowing Club Member Registration Form
Please complete all fields below.
* First Name:
* Last Name:
* Create Username:
* Create Password:
Strength: Very Weak
* Confirm Password:
* Email Address:
* Telephone Number:
* Date of Birth:
*
Gender:
Open (Including Male)
Female
* Address:
* Postcode:
* Emergency Contact Name:
* Emergency Contact Telephone Number:
*
Role within the JRC (Please tick all that apply):
Rower
Cox
Coach
RIB Driver - RYA Powerboat L2
Volunteer
Main Committee Member - Chair
Main Committee Member - Vice Chair
Main Committee Member - Secretary
Main Committee Member - Treasury
Main Committee Member - Safety Officer
Ordinary Main Committee Member
Race Committee Member
Boat Park Committee Member
Youth Academy Coach
Social Committee Member
Sark Organiser
JORR Organiser
*Your Level:
Level 1:
No rowing experience or significant period of time since previously rowed.
Level 2:
Two seasons of coastal rowing (anticipated). Exceptions may apply for individuals with prior rowing experience.
Level 3:
More than two seasons of experience. Exceptions may apply for certain individuals.
Level 1
Level 2
Level 3
*
Do you own a boat and use a club rack?
Yes
No
If yes, insert boat number:
If yes, insert rack number:
*
Do you have a club locker?
Yes
No
If yes, insert locker number:
*
Have you been DBS checked?
Yes
No
Submit
Done
(Use Cropper to set image and
use mouse scroller for zoom image.)
0
0
Your Cart
Your cart is empty
Return to Shop