Canoe Club Registration Form
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
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:
Registration Form Templates @ Template.net
Thank you for registering!
We look forward to welcoming you.
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