Revision 3

Date 9th April 2018

Leicester Windsurfing and Stand Up Paddle Boarding Club Ltd Temporary Member Booking Form

The “Temporary Member Booking Form” forms a contract between the Temporary Member and the Leicester Windsurfing and Stand Up Paddle Boarding Club Ltd. The Temporary Member is required to complete all sections of the form and to confirm that they understand the risks associated with Windsurfing and Stand Up Paddle Boarding at the King Lear’s Lake.

Temporary Members must be over 18 years old. Temporary Members under 18 years old may only sail under the direct supervision of their Legal Guardian. The Legal Guardian therefore registers as the Temporary Member and assumes full accountability at all times for the supervision and the safety of the person/s under18 years of age.

The Leicester Windsurfing and Stand Up Paddle Boarding Club Ltd Daily Sailing Charge is £10.00

Participant Contact Details:

Full Name
Address
Home Phone No
Mobile No
E-Mail Address
Contact Details in the Event of an Emergency

About You:

Do you have any previous Windsurfing and/or Stand Up Paddle Boarding experience or qualifications?
Do you have any medical conditions or physical or mental impairments that may affect your ability to take part in Windsurfing and/or Stand Up Paddle Boarding activities?
(eg epilepsy, giddy spells, pregnancy, asthma, angina, or other heart conditions, nervous disorders, injuries, allergies, medication requirements, diabetes) / The only answer required is Yes or No:
(If Yes, the Club Officer has the final decision versus whether the Temporary Member can take part in Windsurfing and/or Stand Up Paddle Boarding Activities at the Kings Lear Lake.)
Can you swim competently 25 Metres?
Please use this box for any information that you believe to be relevant to your intention to take part in Windsurfing and/or Stand Up Paddle Boarding Activities.

Booking Terms:

Risk Statement: It must be recognised that windsurfing and/or stand up paddle boarding is by it’s nature an unpredictable sport and therefore inherently involves an element of risk. By taking part at the Kings Lear Lake in Windsurfing and/or Stand Up Paddle Boarding, you agree and acknowledge that:

1.  You are aware of the inherent element of risk involved in the sport of Windsurfing and Stand Up Paddle Boarding and you accept responsibility for exposing yourself and if appropriate minors under the age of 18 years for whom you are accountable to such inherent risk whilst taking part in Windsurfing and/or Stand Up Paddle Boarding.

2.  You will comply at all times with the instructions of the LW&SUPC Ltd Officers and/or Members present. Specifically in respect of setting up and beaching windsurfing boards/sails and stand up paddle boards, wearing appropriate clothing and footwear, wearing buoyancy aids/life jackets, remaining within sight of the launching beach and being recovered by the safety boat whilst on the lake.

3.  You are aware of the risks associated with Leptospirosis (Weils Disease) when swimming in or taking part in water based activities on open waterways and lakes. These risks arise through windsurfing and stand up paddle boarding with open wounds. Minor open wounds can be covered with water proof plasters. Visitors should avoid putting their hands near their mouth or nose whilst on or around the lake and must always wash hands before eating. A Leptospirosis Card is available for further information on your request.

4.  You are aware of the risks associated with Blue Algae, particularly in the summer months, when swimming in or taking part in water based activities on open waterways and lakes. Blue Algae appears as blue green algal blooms or foam around the edges of the lake. Strong presence is usually but not always advised by the County Council Representatives. These risks arise through contact, swallowing or breathing in droplets of contaminated water. It is essential to wash hands before eating and to shower after Windsurfing and/or Stand Up Paddle Boarding.

5.  You are aware that Windsurfing Masts when falling or flying in strong winds can cause serious injury to other park users and windsurfers. Temporary Members must seek assistance from a Club Official or Member before carrying or temporarily laying down a Windsurf Sail in the Launching Area.

6.  You must respect other users of the lake ie Tri-Athlete Swimmers, Model Boats, Fishermen. Achieved by maintaining at least ten board lengths from other users.

7.  You accept responsibility for any injury, damage or loss to the extent caused by your own negligence.

8.  You will not participate in Windsurfing and/or Paddle Board Activities whilst your ability to take part in Windsurfing and/or Stand Up Paddle Boarding is impaired by alcohol, drugs or whilst unfit to participate.

9.  The provision of assistance to Temporary Members (Minors under the age 18 years must still be supervised by their Legal Guardian when being instructed by Club Officials or Members) by Club Officials or Club Members is limited to such assistance, as can practically be provided in the circumstances.

Tuition/Instruction:

You understand that Club Officials/Members are giving Temporary Members the chance to experience windsurfing and/or Stand Up Paddle Boarding. Temporary Members will be offered the chance to take part in activities under the guidance of a Club Member who will not be a qualified instructor but will have experience of either windsurfing or stand up paddle boarding. The Temporary Member experience is not intended to provide tuition or instruction.

The club very much hopes that you will enjoy the experience and will be able to advise you on how to obtain professional tuition and instruction should you wish to take your experience to the next stage.

Cancellation:

You understand that the Temporary Member experience may be cancelled at any stage due to bad weather eg thunderstorms, high wind, equipment failure or other unforeseen events.

Misconduct:

You understand that the Club Official or Member may ask anyone who refuses to comply with these “Booking Terms” or who misconducts themselves in any way or who causes damage or annoyance to other persons to leave the lake and the vicinity of the launch area immediately.

Data Protection:

The information given by you on this original “Temporary Membership Form” will be stored in LW&SUPC Ltd “Records Folder”. Your “Temporary Membership Form” will be retained for three years. The information on the “Temporary Membership Form” will only be used by LW&SUPC Ltd or it’s Insurers in the event of a legal claim by you against LW&SUPC Ltd.

Confirm Acceptance. Signature……………………………………………………. Dated…………………………………..

Photography:

We may take photographs and video footage of the days events for use by us in connection with the promotion of the club and it’s activities.

If you object to the use of these images please tick the box here.

Consent:

I confirm that I have read and fully understand the above Booking Terms and agree to comply with them.

Signed: …………………………………………………………. Date …………………………………………….

Parental Guardian Consent (Under 18 years of age)

I agree that …………………………………………………………………….. may take part in the Windsurfing and/or Stand Up Paddle Boarding at Kings Lear Lake. I confirm that I have read through the above conditions with him/her and she/he fully understands and agrees with them.

I confirm that he/she take part in Windsurfing and/or Stand Up Paddle Boarding with my full agreement and that I shall remain accountable for him/her at all times. I also confirm that all the particulars given are correct and complete in all respects.

Signed: ……………………………………………………….. Date ………………………………………………….

Receipt:

The Leicester Windsurfing and Stand Up Paddle Boarding Club Ltd confirms receipt of the “Day Sailing Charge” of £10.00

Signed: …………………………………………………………………………………………………………………………..

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