Sebasticook Chapter of NAVHDA
2026 Member Registration Form
You must be a member of NAVHDA International to join or renew membership with the Sebasticook Chapter. NAVHDA International Membership forms are available at NAVHDA.org. You will need your NAVHDA number to register with Sebasticook. Please note that our memberships are valid from January 1 to December 31 and members may sign up for the upcoming year after all activities have ended September 30.
New Member or Renewal?
Please Select
Renewal
New Member
Full Name
*
First Name
Last Name
A family membership is two adults living at the same address. Youth members under 18 are free and may be added as family members or as a separate membership. Please list additional members' full names below.
Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
NAVHDA International:
Primary Member Phone Number
*
Second Adult Phone Number
E-mail
example@example.com
Second Adult E-mail
example@example.com
Youth family member 1
First Name
Last Name
Youth member 1 email
example@example.com
Youth family member 2
First Name
Last Name
Youth member 2 email
example@example.com
Membership
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Individual Membership
Single person
$
62.00
Quantity
1
2
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10
Family Membership
For two adults at the same address. Please list both names.
$
83.00
Quantity
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2
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9
10
Junior Membership
Up to 18 years old
$
Free
Quantity
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10
Adult Lifetime Membership
18 years and older
$
1,035.00
Quantity
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Youth Lifetime Membership
Up to $500
$
520.00
Quantity
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10
Item subtotal:
$
0.00
Contribution to the Chapter
We are a 501(c)(3) non profit. Your tax deductible donation helps keep our Chapter rolling.
$
10.00
Quantity
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10
Contribution to the Chapter
We are a 501(c)(3) non profit. Your tax deductible donation helps keep our Chapter rolling.
$
20.00
Quantity
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I made a donation and I would like it to be used for:
Code of Conduct:
*
I agree to abide by the Code of Conduct of NAVHDA International. (View at www.navhda.org/navhda-code-of-conduct-sportsmanship)
Payment Methods
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Choose from one of the PayPal options to
make your payment.
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