Membership Registration Form

Membership Form

This form is available for all club participants to join as members from April 1st 2022. Membership will renew every April 1st and be payable before the end of April each year. Any questions or queries please email mail@maestegcanoeclub.org. For members under the age of 18, this form should be completed by a parent or guardian.
Name *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City

Postal / Zip Code
E-mail *
Phone Number *
Name of Member(s)
Please enter the name of the member(s) covered by this membership
Membership Options *
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Junior Membership £ 10.00
This covers members who are under the age of 18

Senior Membership £ 20.00

Family Membership £ 30.00
This covers multiple members living at a single address where buying individual memberships would be more than £30.
Emergency Contact

First Name Last Name
Emergency Contact Number
Emergency Contact Address
Do you agree to photographs of you/ your child being taken by the club for promotional purposes? *

I agree I do not agree
Do you have any disabilities, medical conditions or allergies? *
If yes, please give details above
Canoeing and Kayaking are "Assumed Risk, Water Contact Sports" that may carry attendant risks. Participants should be aware of and accept these risks and be responsible for their own actions and involvement.

By signing up to be a member, you are consenting to your participation based on the above statement.
I and agree to the statement above and to abide by the rules of the club.
By clicking the "Pay Now" button you are submiting your online application and will be re-directed to Paypal to submit your payment. Once we recieve your payment, we will contact you about your Membership. Thank you!
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Membership Form