2023-2024 YCKC Membership Form
Membership provides insurance coverage and enables you to participate in YCKC programs, trips and events. Memberships expire on March 31 of each year. This is a secure form.
Member Name
*
First Name
Last Name
Age
*
Please Select
0-12
13-17
18-55
56+
Gender Identity
*
Please Select
Female
Male
X
Prefer not to say
Do you identify as a First Nations person?
*
Please Select
Yes
No
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Areas of Interest
Open Canoe
Whitewater Kayak / C1
Packraft
Raft
Sea Kayak
Tripping
Racing
Slalom
Freestyle
Social Events
Newsletter
YES! Subscribe me to the YCKC newsletter to get info on upcoming programs, trips, and events.
YCKC exists because of our volunteers. Would you be interested/able to help out with club events and programs?
Yes
No
How would you be interested in helping?
Day Tripping / Weekend Trips
Social Events
Beginner Programs
Serving on the Board
*
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( X )
Single Adult Membership (18+)
$
25.00
CAD
Single Youth Membership (under 18)
$
15.00
CAD
Family Membership
Enter members below credit card section
$
50.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Billing Address
*
Street Address
Street Address Line 2
City
Province/State
Postal / Zip Code
Family Member #2
First Name
Last Name
Age
Please Select
0-12
13-17
18-55
56+
Gender Identity
Please Select
Female
Male
X
Family Member #3
First Name
Last Name
Age
Please Select
0-12
13-17
18-55
56+
Gender Identity
Please Select
Female
Male
X
Family Member #4
First Name
Last Name
Age
Please Select
0-12
13-17
18-55
56+
Gender Identity
Please Select
Female
Male
X
Family Member #5
First Name
Last Name
Age
Please Select
0-12
13-17
18-55
56+
Gender Identity
Please Select
Female
Male
X
Family Member #6
First Name
Last Name
Age
Please Select
0-12
13-17
18-55
56+
Gender Identity
Please Select
Female
Male
X
Submit
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