| Superior Kayak & Canoe Club Application for Membership:
Name: ____________________________________________________________ Individual or Family: (Circle one) Number of Applicants: _________ Address:_________________________________________________________ ________________________________________________________________ Telephone: Home:__________________________________ Cell: __________________________________ Work: _________________________________ E-mail address: __________________________________________________ Level of paddling experience: (Circle one) Beginner Intermediate Experienced Advanced How did you hear about the new club? _______________________________________ Are you interested in any of the following? (circle all that are applicable below) Willing to organize/ lead some trips Day Trips Weekend Events Help with a newsletter Contribute Photos for Website Act as a Contact Person Other (Open to suggestions)…. _____________________________________________________________________ _____________________________________________________________________ ____________________________________________________________________ Please fill out the Membership form AND the Waiver Form. Membership fee is $15.00 for individuals and $20.00 for a Family membership Cheques can be made out to Joe O'Blenis Forms and fees can be mailed to: Joe O'Blenis 108 Glendale Crescent Thunder Bay ON P7C-1N1 |