Na Leo 'O Ke Kai Guest Form 2025

Na Leo 'O Ke Kai

https://outriggeraz.com/
Guest Form
Membership Year
Date

MonthDayYear
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*

Area CodePhone Number
Home Number

Area CodePhone Number
E-mail Address*

Confirmation Email
Age*
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
- Adult: Any adult looking to paddle with the team - competitively, recreationally, or in a cross-training aspect
- Keiki: Kids program from 5-17yo
- Full-time College Student: A person who is enrolled in college AND between the ages of 18-26 (Student ID when required)
Guest *

AdultCollege studentKeiki
Comments
A message to the Board.
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Cell Number*

Area CodePhone Number
Parent/Guardian Accepting Responsibility*

I accept full responsibility of the minor under the age of 18 years old as parent or guardian.
Accept Responsibility and Liability*

I HAVE COMPLETED THIS APPLICATION AS REQUIRED AND ALL INFORMATION IS TRUTHFUL. I HAVE READ AND UNDERSTAND THE AGREEMENT AND ASSUMPTION OF THE RISK. BY CLICKING THE SUBMIT APPLICATION, I UNDERSTAND THAT I AM WAIVING CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE.
Please verify that you are human*
NA LEO O KE KAI OUTRIGGER CANOE CLUB is a 501(c)(3) nonprofit organization whose primary mission and purpose is to revive, develop, perpetuate, and promote the Hawaiian traditions through educational, recreational, cultural, and competitive Hawaiian Outrigger Canoeing programs for Adults and Youth in a safe, healthy, and nurturing environment. For more information, please visit us at www.outriggeraz.com or e-mail naleookekai@gmail.com.
Should be Empty: