CDBCC Registration Form

Unlimited slots left.

1 Start 2 Payment Option 3 Complete

Welcome to the Cobourg Dragon Boat and Canoe Club!

COVID-19 PROTOCOLS WILL BE POSTED ON THIS WEBSITE IN MID JUNE.

Registration Program Category *

Our Summer Camp is now full.
At times we do get a spot open up with a cancellation.
Please email Jeremy ( info@cobourgdbcc.ca ) if you wish to be placed on a call list if a spot in a certain camp week opens up.

Summer Camp Options

Camp Program Choices - HOLD CTRL for multiply weeks

Adult/Family Recreation

Recreation Options

Tuesdays

Wednesdays

Number of Family Participants

Youth Competitive Racing

Athlete Start Date

Spring

Summer

Racing Program Options

Five days a week training

Two days a week training

Recreation - Group

Recreation - Group Session

Wednesday

Dragon Boat Program

Dragon Boat

Mon&Thur 6:30-7:30

Thur ONLY 7:30-8:30

Masters Kayak Racing

Tuesdays & Wednesdays

PaddleALL

Paracanoe & Special Olympics

Paracanoe

Special Olympics

CDBCC Staff / Volunteer

CDBCC Role

Staff/Coach

Volunteer

Executive Member

Official

Swimming Level

Swimming Ability *

Has at least Red Cross Swim Level 6

Comfortable Swimming, no certification

Comfortable Swimming only with life jacket

Not Comfortable in water

Participant Info

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Address *

Town/City *

Postal Code *

Contact Information

Email *

Primary Contact Name *

Primary Contact Phone *

Emergency Contact Name *

Emergency Contact Phone *

Medical Information

Health Card Number

Confidential Information for Staff

Wavier / Release

Paddler's Agreement:

I agree to abide by the rules and regulations of the Cobourg Dragon Boat & Canoe Club.
I understand that the ability to swim competently and being comfortable in and around water is essential for the safety of all participants.
All paddlers under 16 years of age and all dragon boat paddlers must wear PFDs while in boats. Sprint Racing Paddlers over age 16 must have a PFD in their boats unless there is a safety boat on the water, and unless the CKC Cold Water Policy is in effect.
I hereby release and discharge the said Cobourg Dragon Boat & Canoe Club and their respective directors, staff, agents and others authorized by the Cobourg Dragon Boat & Canoe Club from all claims, caused, that the undersigned or the undersigned’s heirs, executors, administrators or assigns, may have.

PARENTAL PERMISSION

This authorizes a Club/Team Official of the COBOURG DRAGON BOAT & CANOE CLUB to have medical or surgical or dental aid administered to the paddler in my absence (including over the counter pain relievers and/or anti-inflammatory medications). With my prior approval, this paddler has my permission to participate in any regattas, practices or other activities approved by the Club or its Officials. I understand that it is my responsibility to keep the club management advised of any change in the above information as soon as possible, and that in the event no one can be contacted club management will admit my child to the hospital if deemed necessary.

I hereby authorize the physician and nursing staff of any Emergency Unit to undertake examination, investigation and necessary treatment of my child.

Periodically, photos of club members are taken and displayed in brochures, newspaper articles, the club website, etc.

Rowan's Law Concussion Awareness

Rowan’s Law: Concussion Awareness Resources

Review the Concussion Awareness Resources (if you are an athlete, parent, coach, team trainer or official).

Requirements for Sport Organizations

Ontario is a national leader in concussion management and prevention. Rowan’s Law (Concussion Safety), 2018 makes it mandatory for sports organizations to:

ensure that athletes under 26 years of age,* parents of athletes under 18, coaches, team trainers and officials confirm every year that they have reviewed Ontario’s Concussion Awareness Resources
establish a Concussion Code of Conduct that sets out rules of behaviour to support concussion prevention
establish a Removal-from-Sport and Return-to-Sport protocol

All Canoe Kids Summer Camp / Racing Camp participants and their parent must review, or have reviewed in the past 12 months, Ontario’s Concussion Awareness Resources. Resources can be reviewed below. CDBCC follows Canoe Kayak Canada's Concussion Protocol / Removal from Sport and Return to Sport Protocol can be found on our home page under the Tab - Safety Policies.

Rowans Law Booklet - Ages 10 and under.pdf
Rowans Law Booklet - Ages 11 - 15.pdf
Rowans Law Booklet - Ages 15 - 26.pdf

Parent/Guardian Concussion Awareness Acknowledgment *

Yes

I have read and educated my child about Concussion Awareness/Protocol within the past 12 months.

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CDBCC Registration Form

Rowan’s Law: Concussion Awareness Resources

Requirements for Sport Organizations