Signup Form

Save $10 if payment made on or before October 31^st - use the coupon code EARLYBIRD26 below

* Membership Type

Family Membership 2025/2026 $60.00 for one year For two or more in the same household. Runs from August 1st 2025 through July 2026. Please ask Family members to signup and complete a profile - they should choose: I AM A FAMILY MEMBER 2025/2026 below, and we will do the rest!
Adult Membership 2025/2026 $45.00 for one year From August 1st 2025 through July 2026
Student/Retired Membership 2025/2026 $30.00 for one year From August 1st 2025 through July 2026
I am a Family Member 2025/2026 Free for one year For family members of a 2025/2026 Family Membership sub.

IMPORTANT NOTES

Earlybird memberships available on or before October 31^st receive a discount of $10 BUT YOU MUST USE THE COUPON CODE BELOW!!
The club Newsletters are emailed to members. Sending Newsletters by Post is no longer offered.

* Payment System

Manual Payment pay via internet banking or deposit. PayPal secure credit card payment - no paypal account required

NOTE: Online payment via paypal.com is offered to our members as a convenience, but please note that a handling fee of 5% will be added to paypal payments to cover credit card transaction costs.

Enter coupon code

IF you are purchasing a membership between August 1st and October 31st - receive an early bird discount by entering the coupon code EARLYBIRD26 (please enter as shown - no spaces, UPPERCASE ends with numbers 2 and 6). Earlybird discount is not available at other times. Committee members use coupon COMMITTEE26.

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

Our membership system requires that each member have their own email address. In the event you share an email address with an existing member, please enter +1 before the @ symbol in your email address, For example: billandted+1@journey.com

* Choose a Username

it must be 4 or more characters in length
may only contain letters, numbers, and underscores

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Family Members

Please include family member names and email addresses if this is a family membership subscription. All must live in the same household. Children must be 12 years or over.

Emergency Contact

Name of a person that we can contact in the event of an emergency during club activities.

Emergency Contact Phone Numbers

Please indicate your interest in these disciplines

* Sea Kayaking

Yes
No

* White Water Kayaking

Yes
No

* Canoe Polo

Yes
No

Please complete this section if you are interested in Whitewater or Sea kayaking. When responsible for yourself in a peer / group paddle your ability is:

White-water Grade

Sea Kayaking Level

Sheltered Coastlnes (e.g. Abel Tasman)
Exposed Coastlines (e.g. D'urville Is.)

Your Skills

The skills you have to look after yourself or others are:

Rolling - Left

Never
Sometimes
Usually
Always

Rolling - Right

Never
Sometimes
Usually
Always

Rescue Ability

Paddling Experience

please provide a brief description of your paddling experience (if any)e.g. locations/grades. If a new member - any existing members you have previously paddled with.

Qualifications

Beginners Courses Taken, Sea Kayak, Rescue, First Aid etc. Please include when and with whom these were with.

* Medical Information

Do you have any medical information that others need to be aware of when paddling with you?

No
Yes

Club Activities

Please indicate your interest in helping with the following:

* Pool Activities/Roll Training

Yes
No

* Coordinating/leading group paddles

Yes
No

* Assisting with the Beginners Course

Yes
No

* Instructing the Beginners Course

Yes
No

Exclude from Directory

if this box is checked, you will not be displayed in public members directory

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