2025 Na Leo 'O Ke Kai Membership Form

Na Leo 'O Ke Kai

https://outriggeraz.com/
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#*
If you need a SCORA ID#, click on the picture below and complete the application process.
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: Two adults plus two keikis (Additional keikis pay individual keiki fee)
- Veteran: w/Military ID
Membership Type*

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 (two adults & two keikis)
Membership Fee*

Adult Membership $150College Student $100Keiki Membership $50Veteran $25 (w/military id)Family Rate $225
Date

MonthDayYear
Date
Total Due*
Total Due Paypal
Comments
A message to the Treasurer or to the board.
Payment Options*

Check by ZellePayPalVenmo
The amount to enter Zelle
To pay by check this can only be done by using Zelle.

To pay via Zelle log into your personal bank account and added Na Leo 'O Ke Kia as a payee and put in Na Leo's email address "naleookekai@gmail.com". Then put in this amount ${CheckAmt} then hit the send button. Make sure that your bank uses Zelle. You should get a confirmation email or text.

If your bank does not use Zelle you can be download the Zelle app via Google Playstore or the Apple Store. Follow the instructions and once you have complete the instruction. To send money put in Na Leo's email address "naleookekai@gmail.com". Then put in this amount ${CheckAmt} then hit the send button. You should get a confirmation email or text with the amount that you paid.
PayPal

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USDDescription
To paid by Venmo

Go to the Venmo app that can be downloaded via Google Playstore or the Apple Store. Follow the instructions on the app to create your own account and add your personal banking information.

To pay find the Pay button on the home screen—it will say “Pay,” or it will look like a pencil and a square and time in the amount of ${totalDue47} make sure to put in Na Leo's email address "naleookekai@gmail.com" to pay or charge, the amount of ${totalDue47}, and a note. Once you’re ready, tap “Pay” and you should be all set! You should get a confirmation email or text with the amount that you paid.

Parent/Guardian Accepting Responsibility
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
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.
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