Membership Application/Renewal Online

First Name

Last Name

If this is a family membership (same total price of $20), please list additional names of family members that this membership will cover, separated by a comma:

Address

City, State

Zip

Home Phone (XXXXXXXXXX) (If No Home Number Enter Cell Number)

Cell Phone (XXXXXXXXXX) (If No Cell Number Re-Enter Home Number)

Email

What is your membership status?
NewRenewal

What boats do you paddle (check all that apply)?
KayakC-1C-2Solo CanoeTandem CanoeOther

What is your paddling ability?
Beginner (Class I-II)Intermediate (Class III)Advanced (Class IV - V-)Expert (Class V)

Name and phone number of person to contact in an emergency

Any other information you'd like us to know about you?