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Catherine Gerrard
Personal Information:
Title | First Name | Surname | Date of Birth | Membership Type | Membership Start Date | Payment Option |
|---|---|---|---|---|---|---|
Miss | Catherine | Gerrard | 12/12/1990 | Full Rowing | 30/09/2021 | Online |
Address | Email | Telephone number | Mobile Number |
|---|---|---|---|
Westcliffe, Penmaenmawr Road, Llanfairfechan, Conwy, LL33 0PN | cath.gerrard@btinternet.com | 7519195127 |
Signature:
Data Protection
Not specified
Photo Consent
Not specified
Athlete Can Swim 50m
Not specified
Previous Rowing Experience:
LTR
British Rowing Experience:
British Rowing Points:
Junior Membership:
Juniors Name | Junior Date of Birth | Current School | Junior Home Address | Parent/Guardian | Junior Home Number | Junior Parent/Guardian email | Regular medical checks | Photo consent |
|---|---|---|---|---|---|---|---|---|
Parent's Signature:
Athlete's Signature:
Medical details
Allergies | Diabetes | Broncitis | Asthma | Ear Problems | Muscular/Skeletal Problems | Regular Medication | Date of Tetanus |
|---|---|---|---|---|---|---|---|
Medical Signature:
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