Course Registration - Learn to Row

Please select the course you wish to join *

Your Name *

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Last

Address 1 *

Address 2 *

Your Age *

Your Mobile Number *

Email Address *

How did you hear about our courses?

Do you have any medical ailments or conditions that may be affected by rowing; things we should be made aware of? If so please advise below. If you are all good write No or Nil in the space.

Note: We will attempt to adjust instruction to suit, however responsibility for personal care remains with the participant if carrying an injury. I confirm I am able to swim at least 100m. I confirm I am not suffering an illness or medical condition, other than declared above, that may put myself or other rowers in danger while participating in the instruction provided by Murdoch University Rowing Club. I agree that I am participating in this learn to row course at my own risk and whilst all due care will be taken by Murdoch University Rowing Club, I will be responsible for my own safety. By submitting this form I agree the conditions and agree that the information given is correct.