2020 Yorkton Canoe Kayak Club Membership Application
Please use this online form for all programs (Dragon Boat, CanoeKids, Racing Program, General Membership). EACH MEMBER ON DRAGON BOAT TEAMS NEEDS TO FILL OUT REGISTRATION FORM.

Thank you for your patience when completing this form. Due to the nature of 2020 and some of the challenges we are facing, we had to add new sections to this form. To make sure you are in the right sections, you may have to answer a question more than once.

You will be contacted if there is any issues with this Application for Membership.

If you do not have an email address, please enter yckcguest@gmail.com.
Email address *
Today's Date *
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Member/Participant's First Name *
Member/Participant's Last Name *
Member/Participant's Email (if different than who is registering)
Would you like to be notified via email about YCKC programs and upcoming events? *
Address *
City *
Province *
Postal Code *
Member/Participant's Primary Phone Number *
Secondary Phone Number (optional)
Member/Participant's Date of Birth (Please double check the year) *
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Self Designation (Optional)
Clear selection
Emergency Contact (Name and Phone number) *
Medical Limitations/concerns, medications, or allergies. (This information is confidential and will only be used to help our coaches provide a safe and adaptive environment for all participants) *
Required
Important Medical details:
Do you give permission for YCKC to use your photo for promotional purposes. This may include: Video productions, website, Facebook, posters, brochures, etc. Names will NOT be used without further permission *
Would you like to purchase a YCKC T-shirt for $12?
Clear selection
T-shirt sizing (if applicable)
The participant is.... *
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