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
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Spouse or Significant Other First Name
| Spouse or Significant Other Last Name, only if not the same
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Address
|
City
| State
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zipcode - add zip+4 if you can
|
Home Phone
|
Cell Phone
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Work Phone
|
Which phone shoukd be listed in 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
Paddling Interest - WW |
| Paddling Interest - SK |
| Paddling Interest - CC |
| Paddling Interest - FW |
Any Questions or Comments?
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| OR
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