Paddlefish Membership Application
Please complete this form after submitting your TRRA membership application and payment.

REPRESENTATIONS: I am applying for membership as a member of the Pittsburgh Paddlefish, a dragon boat team. I agree to abide by all Paddlefish Member Rules and Responsibilities as they may from time to time be adopted. These Paddlefish Member Rules and Responsibilities along with the Pittsburgh Paddlefish By-Laws, copies of which are attached to the Paddlefish website, are the basis for my continued team membership.

Name
Your answer
Address
Your answer
Date of birth
MM
/
DD
/
YYYY
Email address
Your answer
Mobile phone number
Your answer
Home phone number
Your answer
Work phone number
Your answer
Emergency Contact Name
Your answer
Emergency Contact phone number
Your answer
I have taken the Three Rivers Association Swim test.
I am willing to steer/learn to steer a Dragon Boat
Certification
I have current certification for the following (check all that apply):
TRRA membership
I have completed my application and submitted payment of dues to Three Rivers Rowing Association. Paddlefish team dues are $50 for summer and $25 for winter. Please pay with a check made out to Pittsburgh Paddlefish and give to the Team Treasurer with Membership written on the information line.
Electronic Signature:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms