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Membership 2023/2024
Ngaa Tai Whakarongo Membership Form for the 2023/2024 season
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* Indicates required question
Email
*
Your email
Type of Membership:
*
Whānau (2 Adults & 2 Children under 16)
Midget
Intermediate
J16
J19
Adult
Required
First Name:
*
Your answer
Last Name:
*
Your answer
Address:
*
Your answer
Date of Birth:
*
Your answer
Gender:
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Male
Female
Gender Diverse
Phone:
*
Your answer
Emergency Contact - Full Name
Your answer
Emergency Contact - Relationship
Your answer
Emergency Contact - contact number
Your answer
Do you or your whanau have skills or expertise you may be willing to share with NTW? Please elaborate and identify contacts unless otherwise provided.
Your answer
Paddling preferences
Social Paddling - I want to get some exercise, have fun and learn more about paddling and ge
Competitive paddling - I want to enter races and train for them
Both Competitive and social paddling
Ethnicity:
Your answer
Iwi / Hapū Affiliation
Your answer
Are you a registered tribal member of Waikato Tainui?
*
Yes
No
Do you or any paddlers listed suffer from any health problems, disabilities or injuries that may affect their ability to paddle?
*
Yes
No
If yes, please state what the health problem(s) are (e.g. asthma, stroke victim) and which listed paddler it relates to.
Your answer
Annual fees
Fee payment information
*
I/we accept that we will pay the required fees associated with my/our club membership
I/We have read, understood and agree to abide by the Nga Tai Whakarongo Whanau Hoe Waka Club Policies. NTW Policies are accessible via the Club website or upon request.
I/We understand that the Club is not liable for any person accident, damage or illness which occurs before, during or as a result of Club trainings, races or events.
I/We understand that I/we are liable for damage incurred intentionally, recklessly or negligently to Club waka and paddling equipment while I/we are using them.
I give permission for information pertaining to club membership, to be available for general Club distribution,to be included in the Club database,to be photographed and utilised for club publication.
I give consent to become a member of Nga Tai Whakarongo Whanau hoe Waka Inc
Required
Please provide an email to receive further information about our club, fees, and training times.
Your answer
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