Social and Intermediate Rowing Sign-Up Please complete the details below to finalise your registration for the program.Personal DetailsName* First Last Date of birth* Date Format: DD slash MM slash YYYY Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency ContactName* First Last Realtionship to you*Phone*Rowing ExperienceAre you a competent swimmer?*YesNoRowing is a water sport and it is your responsibility to ensure that you are comfortabel in the water should your boat capsize, sink or swamp. We may not accept an application from non-swimmers.Please include details of your previous rowing experience below.*Are there any other factors that we need to be aware of such as medical conditions or disabilities?*YesNoWe need to ensure your safety and that of other members, if you answer yes, you will be asked to include any details that you think may be relevant in the next step.Please include details of medical issues, disabilities or other relevant information below.*Terms and ConditionsI am 18 years or older* Yes NoParticipants under 18 will require this section to be completed by a parent or guardian.You have selected in the previous question that this participant is under 18 years. It is therefore required that a parent or guardian agree to the Terms and Conditions of this program. You will be required to provide your details below.Name of parent or guardian completing this section* First Last Parent or guardian phone*Parent or guardian email* Constitution and Code of Conduct* I/the participant agree/s to abide by the Canberra Rowing Club Constitution and the Code of Conduct.