Membership Form Fill in the form online or download the PDF form here Phone First Name * Surname * Initials * Occupation * Date of Birth * ID Number * Email Address * Cell Number * Boat Number (if applicable) Address * Select Membership Option Payment * 1000 1550 420 300 500 Amounts: Senior R1000, Family R1550, Student R420, Junior R300, Recipricol R500, Country/Social R500 Boat Rack Price 420 470 K1 R420, K2 R470, Surfski R470 Club Key 65 R65 Amount Due Total: Are you willing to do any club duties? * Yes No If yes, please select which duty/s Timekeeper at time trials Race sweep Bar duty Race official Breede Stanford Olifants Prizes I undertake to comply with all the rules and directions of my club, and shall participate in their activities at my own risk and responsibility. I exonerate and indemnify all persons and bodies concerned from and indemnify them against any loss or damage resulting directly or indirectly from my participation. * Yes No Date IF THE PADDLER IS UNDER 21 YEARS OLD: I, the parent/guardian of the abovementioned person, permit him/her to participate at his/her own risk and responsibility and exonerate all bodies and persons concerned from, and indemnify them against, any loss or damage resulting directly or indirectly from his/her participation. Yes No Recaptcha *
