JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Borealis Paddling Club - Online Membership
All membership information will be kept confidential to the club president, membership director and communication director.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Primary Member Information
First Name
*
Your answer
Last Name
*
Your answer
Gender
Information collected in this question is used for annual reporting to Paddle Alberta and remains confidential. This question is optional if you prefer not to answer.
Woman
Man
Non-binary
Clear selection
Address
*
Your answer
Phone Number
*
Your answer
Alternate Phone:
Your answer
Email
*
Your answer
Age Range:
*
Choose
18 to 59
60 and Over
17 and Under
Are there any health concerns that may affect the member while participating in club events?
If yes, please share any details you wish us to be aware of.
Your answer
Emergency Contact Info
Emergency Contact Name:
*
Your answer
Relationship to Member:
*
Your answer
Emergency Contact Phone Number.
*
Your answer
Membership Type
Please select the type of membership needed:
*
Note - Club membership runs from Jan 1 to Dec 31
Adult (18 to 59 years of age) - $30 / year
Family (2 adults, plus children) - $50 / year
Junior / Senior (under 17 or over 60 years of age) - $20 / year
Other:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
