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Membership application
If completing on behalf of a family application, please answer the following questions for the primary applicant.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Postal address
*
Your answer
Phone number
*
Your answer
Do you have any medical conditions we need to be aware of? If yes, please provide details including any medication you carry.
Your answer
What is your paddling experience?
Your answer
Do you have any formal qualifications relating to kayaking? e.g. first aid certificate, river rescue.
Your answer
Which of the following are you interested in getting involved with?
Whitewater kayaking
Whitewater rafting
Sea kayaking
Surfing
Multisport
Slalom
Flat water racing
Packrafting
Emergency contact
Name
*
Your answer
Phone number
*
Your answer
Relationship
*
Your answer
Membership type
Who are you signing up today?
*
Individual
Student - secondary, or tertiary
Family - family members should all be residing in one location and under the age of 18
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