Please indicate that you have read and agreee to Membership Liability Waiver I agree to liabilty Waiver |
Please indicate if you are a current member and only making changes I am a current club member |
First Name
|
Last Name
|
Spouse or Significant Other First Name
| Spouse or Significant Other Last Name, only if not the same
|
Address
|
City
| State
|
zipcode - add zip+4 if you can |
Home Phone
|
Cell Phone
|
Work Phone
|
In addition to home phone which phone should be listed in our yearbook? Cell Work |
Children's Names / Birth Year
|
Primary E-Mail
|
Alternate E-Mail
|
Club Newsletter Read On-Line, Save the postage Mail me a Newsletter |
Can the club ever share your membership Information? Share only with KHCC Board Approval Do not Share my Information with anyone |
Please indicate all your paddling interests Whitewater - WW |
| Sea Kayaking - SK |
| Canoe Camping - CC |
| Flat Water - FW |
Any Questions or Comments?
|
Membership Cost and Terms
* Club Membership Year ends Oct 1st no matter when you join .
* Membership Dues are $20.00 Per Year or $21 if using Paypal.
* If you join from June 15th to August 15th dues are only $10.00.
* Our Yearbook & Roster is distributed in February or until we run out.
* The December newsletter is the last one you will receive until you renew.
|
| OR
|