Membership Form

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Membership Form

2023 / 2024

Membership type *

$150 - Junior (18 and under) - club boat use

$150 - Junior (18 and under) - own boat

$200 - Senior (includes storage)

$200 - Club boat use (3 months or as agreed) *

$100 - Associate (no boat storage)

$50 - Additional boat storage **

Club financial year: 1st Oct to 30 Sept

* Additional to Senior membership. Boat usage for up to 3 months while finding a boat to purchase or as agreed.

** $50 for extra boat storage for a year as long as there is room available

First Name *

Surname Name *

DOB *

YYYY

Address *

Email address *

Phone *

Guardian name and phone (if under 18) *

Kayak description *

Payment Amt - Bank A/c: TSB 15 3945 0220575 00 *

Code of Conduct:

Waitara Kayak club members are made up from a wide range sporting backgrounds and sports clubs that all have a passion for kayaking. When we are together on the Waitara River, we are one club, and we act and support each other in all ways.

Make yourself aware of the club’s Code of Conduct policy, along with other polices - found on website https://waitarakayakclub.blogspot.com

Member Declaration

Waiver:

I realise that Kayaking has an element of danger. In signing this waiver, I undertake to become familiar with and abide by the club rules and policies. I understand that participating in this sport is at my own risk and take full responsibility for my own wellbeing.

Signed (type name) *

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