Application Form

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How to Join

To register a new Member please fill out the form below. Upon submitting this form a PDF will be generated for you. You need to print this, sign, and send to HSS along with the correct Membership Fees. Once we have received the signed form we will send an email with Login Details for the Members Area.

New Active Member's Details

First Name

Last Name

Date of Birth

Gender

Weight

Weight kgs

School

Email Address

Mobile (optional)

Mobile

Criminal Records Bureau (if applicable)

Please tick box if you hold a current CRB certificate

Independent Safeguarding Authority (if applicable)

Please tick box if you hold a current registration with the Independent Safeguarding Authority

1^st Parent/Guardian (Associate)

Receives all correspondence including invoices and statements

On submission of this form the 1^st Associate will be asked to sign and agree to the following:

"I hereby consent to any data held by Hinksey Sculling School being used (even if involving disclosure) for any reasonable purpose of Hinksey Sculling School Ltd, including use on training videos and publicity. In the event of neither associate being available and in emergency, I authorise Hinksey Sculling School Ltd to consent to emergency medical procedures."

First Name

Last Name

Email Address

Home Phone Number

Mobile Phone Number

Street 1

Street 2 (optional)

Street 2

Town/City

Town or City

County

Postcode

Occupation (optional)

Occupation

Criminal Records Bureau (if applicable)

Please tick box if you hold a current CRB certificate

Independent Safeguarding Authority (if applicable)

Please tick box if you hold a current registration with the Independent Safeguarding Authority

2^nd Parent/Guardian (Associate) (optional)

First Name (optional)

First Name

Last Name (optional)

Last Name

Email Address (optional)

Email Address

Home Phone Number (optional)

Home Phone Number

Mobile Phone Number (optional)

Mobile Phone Number

Occupation (optional)

Occupation

Criminal Records Bureau (if applicable)

Please tick box if you hold a current CRB certificate

Independent Safeguarding Authority (if applicable)

Please tick box if you hold a current registration with the Independent Safeguarding Authority

In case of an Emergency

Emergency Contact Name

Emergency Contact Telephone Number

Doctor's Name

Doctor's Telephone Number

Medical Conditions (if any)

Please detail of any medical conditions that HSS coaches need to be aware of.

Medical Conditions

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When clicking this button you will be sent to a confirmation page, where a PDF will be presented for download. Please download/open this document, print it, sign it and send back to HSS with the correct Membership Fee (see Fees). This will enroll the athlete in the next available pool session which will be confirmed to you.