Membership Application Form

Applicant Name(s)

Address

Telephone

Mobile no.

E mail address

Please list any canoes or kayaks you have:

Are you interested in any specific types of paddlesport, e.g. sea kayaking, whitewater or open canoeing.
Please list what interests you:

If you have any paddling experience, please list it:

Please list any paddlesport qualifications you have e.g. star test awards, coaching qualifications:

Annual membership: Family £20, Individual £15, Unwaged/OAP £10, Junior £1.

Please send a cheque payable to Mallaig & District Canoe Club to:
Deirdre Roberts, 3 Bracara, Morar, Inverness-shire PH40 4PE

The club has an active child protection policy.

TO SUBMIT THE FORM:
Highlight the whole form and Copy it.
Open an e-mail to deirdrebracara@hotmail.com  and Paste the form into the body of the  e-mail