CWWC Membership Application or Renewal 

Please fill in this form whether you are applying to join for the first time, or are renewing your membership.  

Our membership fees are $70 for new members, and $60 for renewing members. Juniors (17 and under) join free.

New membership applications are subject to acceptance by the committee.
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First name *
Last name *
Mobile phone *
If no mobile phone, please enter your home phone
Email *
Date of birth
We hold this for emergency purposes, however you may choose not to provide this.
MM
/
DD
/
YYYY
Emergency contact name *
So that we can contact your whanau in case of an emergency
Emergency contact relationship to you *
Emergency contact phone *
Consent for the use of my personal information *
I consent to the use of personal information provided to the Canterbury Whitewater Club Incorporated (the Club) for the purpose of facilitating the operation of the club, its events, and the safety of its members.

I understand the collection and use of my personal information is subject to the Privacy Act 2020, and that I have the right to access and correct any of my personal information that the Club holds.
Required
Agreement to follow Club rules and policies *
As a new or renewing member of the Canterbury Whitewater Club Incorporated (the Club), I agree to abide by the Club's Constitution (Rules of the Club),  Code of Conduct, River Code of Practice, and policies determined by the Club's committee, and I agree to take responsibility for communicating my level of whitewater skill and experience on club river trips.
Required
Membership category *
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