25/26 ROCC Registration
  • ROCKINGHAM OUTRIGGER CANOE CLUB

  • I would like to sign up for*
  • Paddler details

  •  - -
  • Gender*
  • Format: 0000 000 000.
  • Parent / Guardian

  • Format: 0000 000 000.
  • Emergency Contact Details

  • Format: 0000 000 000.
  • Health & Safety

    Please note: life jackets are available for all paddlers if required
  • Swimming ability*
  • Do you have any medical conditions?*
  • FEES

  • Name: Rockingham Outriggers
    BSB: 066 – 159
    Acc: 1119 6893
    Ref: Use paddlers name as a reference

  • Club fees*
  • We're also a Kidsport registered Club. Head over to the KidSport website to see if you qualify.

  • Consent and Declaration

  • Promotion*
  • PADDLER DETAILS

  •  - -
  • Gender*
  • Format: 0000 000 000.
  • Image field 110
  • Should be Empty: