University of Canterbury Canoe Club Membership Form 2024

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By submitting this from I understand and accept that the UCCC accepts no liability for injuries or death, or for gear loss or damage arising from club trips. I consent to the collection and retention of the above information by the UCCC for membership records, and the disclosure of this information to national organizations/funding bodies. All information is held in accordance with the Privacy Act 1993. I agree to abide by the UCCC constitution, and follow all committee, leader, and seconds directions on and off the river to ensure a safe environment. By submitting this form I consent to being a member of UCCC.

Name (first and last) *

Gender

Male

Female

Other

Clear selection

Email *

Phone Number *

Student ID Number (if you're not a student put N/A) *

Type of Membership *

Student Membership ($20)

Non Student Membership ($25)

Only around for 1 semester ($10) EXCHANGE STUDENTS ONLY

What kind of trips are you keen for? *

Beginner Trips

Progression (keen to get some more experience)

Gnarly trips for experienced paddlers

Rolling sessions (learning to be upright is a lot more fun)

Canoe polo

Social Events

Other:

Required

Paddling Level ( Be very honest here. Over-rating your ability can lead to serious consequences if you end up on a river too hard for you!) *

Complete beginner

Flat water

Grade 2

Grade 3

Grade 4

Grade 5

Other:

Nationality

Born and Bred Kiwi

Overseas

I pinky promise I have paid my membership fee to:

02-0875-0169255-00

I have paid cash

I have paid via bank transfer

I have spoken with a committee member about it and will pay

Submit

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