Free Canoe Club Registration Form Template

Canoe Club Registration Form

Please fill out this form to register to our club.

Date

    Member Information

    Name

      Date of Birth

        Gender

          • Male

          • Female

          Address

            Phone number

              Email

                Membership Details

                Membership Level

                • Individual ($50/year)

                • Family ($90/year)

                • Senior (55+) ($40/year)

                Payment Method

                • Credit Card

                • Debit Card

                • Online Payment

                • Cash

                • Check

                Payment Proof

                  Acknowledgment

                  By signing below, I acknowledge that canoeing involves certain risks, and I agree to assume responsibility for these risks.

                  Name:

                  Date:

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                  Thank you for registering!

                  We look forward to welcoming you.

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