Yakity Yak Kayak Club Enrolment Form
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.

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

Before you join any Club trips you must have completed an Enrolment Course if you haven’t done so previously. These are run by our sponsor, Canoe & Kayak. Enrolment bookings can be made here https://www.canoeandkayak.co.nz/courses/ 

Please also use this form to update any details such as change of address etc or alternatively email admin@yakityyak.co.nz


Sign in to Google to save your progress. Learn more
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? *
What is your Trip Leader Status? *
Required
Is there anything else you would like to tell/ask us?
Risk Disclosure Acknowledgement *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy