Yakity Yak Kayak Club Enrolment Form

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We ask that all new and current club members please complete this form to ensure we have everyone's complete and up-to-date information. Please also use this form to update any details such as change of address etc or alternatively email admin@yakityyak.co.nz

In order for your membership enrolment to be complete and your membership card issued, please pay the annual club membership fee of $75 for an individual or $115 for a family membership (living at the same address).

Payment can either be paid by credit card online here: http://www.yakityyak.co.nz/Membership/Payment+Options.html
(please note there is a $5 service charge for using this service) or by direct credit as follows:

Account name:
Yakity Yak Kayak Club Trust
Account number:
03 1322 0838193 000

When joining the Yakity Yak Kayak Club we have a commercially run enrolment course to keep everyone safe, new members MUST attend before going on trips. The cost for this Canoe & Kayak Day course is $295 and includes a hire kayak and basic kayaking gear. For more information on the course click here, https://canoeandkayak.co.nz/kayaking-courses/

Once enrolled, one of the Canoe & Kayak team will call you to set up an agreeable date.

By clicking this button I agree to this condition of membership to enrol in the Yakity Yak Enrolment Kayak Course. *

Yes

Required

Given Name *

For a family membership, please give all members names.

Last Name *

Street Number and Name *

Suburb *

City *

Post Code *

Mobile Phone Number *

Email Address *

Emergency Contact Person 1 *

Name, Relationship, Contact Numbers - not the person you often paddle with.

Emergency Contact Person 2

Name, Relationship, Contact Numbers

Please list any relevant medical conditions, and medication that your trip leader should be aware of.

Date you completed your Kayaking Course/Yakity Yak Enrolment Course

If you don't know the exact date, approximately date is fine. If you have not completed a Kayaking Course, you can book here https://www.canoeandkayak.co.nz/courses

Location you completed your Kayaking Course

Have you paid your membership fees? *

Yes

What is your Trip Leader Status? *

Current leader

Leader in training

Retired leader

Interested in becoming a leader

Not applicable to me

Required

Is there anything else you would like to tell/ask us?

Risk Disclosure Acknowledgement *

I understand that there are risks involved in the activities I will be undertaking. I also understand that an unpredictable or uncontrollable event may occur that could possibly cause me serious harm or death. I am aware of the implications of my voluntary participation and the possible consequences should I ignore the organization’s safety management procedures and directions. I acknowledge that the organization will take all reasonable and practical steps to keep me safe while I am involved in these activities. However, I accept full responsibility for my own actions or inaction. I have read and understood this risk disclosure.

Required

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