Membership Form

Only use this form if you are aged 18+ and a current member of the club.

All information will be forwarded to the club membership secretary only and stored confidentially.  Leicester Rowing Club will hold the information provided on this form electronically. It will only be used to contact you about LRC matters; it will not be provided to any third party or other organization.

Personal Information

Emergency Contact Details

Membership category

Swimming Ability


YesNo


YesNo


YesNo


YesNo

Health Questionnaire


YesNo


YesNo


YesNo