Na Leo 'O Ke Kai Membership Form 2026

Na Leo 'O Ke Kai

MEMBERSHIP 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*
SCORA ID# (Example: SCxxxxx)*
If you need a SCORA ID#, click on the picture below and complete the application process. DO NOT create a duplicate number.
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 the age of 5 to under the age of 17
- Full-time College Student: (ASU, NAU, UofA, GCU and etc) from the age of 18 to 26 must show student ID when required.
- Family Rate: Up to two adults plus two keiki *minimum to apply rate is two adults & one keiki. Additional keiki pay individual keiki fee.
- Veteran: w/Military ID
Full Year Adult - New MemberFull Year Adult - RENEWALFull Year Keiki - New MemberFull Year Keiki - RENEWALFull Year College Student - New MemberFull Year College Student - RENEWALFamily rate *see rate details above
Adult Membership $150College Student $100Keiki Membership $50Veteran $25 (w/military id)Family Rate $225 *see rate details above
Date

MonthDayYear
Date
Total Due*
Comments
A message to the Treasurer or to the board.
Online Payment via Square
The amount to enter

Parent/Guardian Full Name*

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

Area CodePhone Number
I accept full responsibility of the minor under the age of 18 years old as parent or guardian.

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.
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Na Leo 'O Ke Kai