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If you would prefer to apply off-line please download a 'paper-based' form here.

 Risk Statement

CVSS provides opportunities for disabled people to sail using safe and simple equipment.
CVSS is not a sailing school and no formal training is offered, although volunteers are present to give guidance.
A safety boat with qualified driver is also present.
Although CVSS operates with detailed safety procedures, Sailors and/or their carers accept and share in the inherent risks associated with this water sport.

Name and Address
Member Status

Contact Information
Permission to use images

To comply with Data Protection Legislation we need permission from all applicants to use their images on our website. Our policy on the use of images can be found here (opens in new tab).

  • For those over 18 years of age, permission should be given by the individual
  • For those up to the age of 18 and those over the age of 18 (if incapacitated), permission must be given by a parent, guardian or carer

If you do not wish to give permission, please write ‘NO’, or enter the name of the person giving permission.

Age and Gender

CVSS often need Date of Birth information for grant applications and to satisfy other requirements. For consistency, this year we are recording DOBs of all registered members. Thank you for your cooperation.


Please select at least one box and all that apply.

Physical Difficulties (Cerebral Palsy, Balance), Sensory Difficulties (Hearing, Sight), Health Difficulties (Epilepsy, Stroke, Heart, Alzheimer’s)

Sailing Day and Time

I wish to apply for Sailing and Representative Membership and agree to abide by the CVSS Constitution

The CVSS Constitution and Safety Regulations can be viewed in Public Documents
(Opens in a new tab or window)

Representatives Supporting the Sailor
Please refer to the section above 'Permission to use images'

If you do not wish to give permission, please write ‘NO’, or enter the name of the person giving permission

First Supporter

Second Supporter

Third Supporter


  • There may be occasions when boats are not available for family members as priority must be given to our regular disabled members. Availability of boats will be made at the discretion of the Leader on the day
  • For insurance purposes, all representatives are members. Only one representative (over 18 years of age) may vote on the Sailor's behalf


Pre-Season Training for Parents, Carers, Teachers, Friends or Personal Assistants

Training is free and includes a free lunch for those who book it. A "Certificate of attendance" will be issued on request.

Training sessions run from 10.00 a.m. to 3.30 p.m.

Multiple attendees: If more than one person wishes to attend the training session, please add the names of all those attending (and their lunch requirements) in the comments field below.

On-line payments

CVSS does not accept payments through its website. We do though accept and encourage the use of on-line payments by BACS (commonly known as on-line or internet banking).

To help us match your payment to your application, please keep a note of the payment reference (to be entered in the field below) and use the same reference on the back of your cheque or when making your BACS submission.
We recommend using surname and first initial.

Thank you.

Payments by cheque
Please write your payment reference on the reverse of your cheque and send it to:

Mrs Melanie Winward
47 Durrants Drive
Croxley Green
WD3 3NZ                                                  

     Payments by BACS
Please make your BACS payment (using your payment reference) as soon as possible after submitting your application.

CVSS Bank Details:

Sort Code: 40-52-40
Account: 00025081

Please use the same 'payment reference'


Wheelchairs and Mobility Aids: CVSS will endeavour to look after these and similar items but cannot be responsible for loss or damage to them whilst they are on site.

Sailor's Weight: When joining CVSS, you are confirming that a Sailor’s weight DOES NOT EXCEED 127kgs (20 stones)

Personal Belongings: CVSS will endeavour to look after such items but cannot be responsible for loss or damage to them. We would advise that they are not left in the Club.

Hearing Aids, Spectacles, Communication Aids and Electronic Equipment: CVSS recognise that Sailors and Personal Assistants may need to bring items such as these above onto our site and into boats. We advise that spectacles and sunglasses do not float and should be secured. We cannot ensure that items remain dry on site and ask that users bear this in mind. CVSS cannot be responsible for loss or damage to this type of equipment.

Data Protection

The information provided on this form will be used solely for dealing with those named on this form, as members of CVSS. CVSS has a Data Privacy Policy which can be found at Data will be stored and used in accordance with this policy.


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