HAMBLETON PADDLERS CANOE CLUB
Please complete this form in block capitals
SECTION A CONTACT DETAILS
Home Phone Number: Mobile:
SECTION B MEMBERSHIP OPTIONS
Please identify the type of Membership
MEMBERSHIP you wish to join under by placing a tick
in the space below:
Once you have identified the type of Membership you renewing, you should complete the
relevant Membership box below.
If joining as either a Full or Junior Member, please note that only one applicant can be
considered per form. If more than one person from the same household would like to join and
this cannot be done through the Family Membership option, then a separate application form
should be submitted.
MEMBERSHIP DETAILS (Family Membership =Up to two adults and four children)
If yes, please Can you What is your current
Are you a state your swim 25 level of ability?
Adult’s Names BCU member? BCU
Please tick box metres? See accompanying notes and
membership Please tick box insert appropriate numbers
yes no number yes no Kayak Canoe
Children’s Names yes no Date of Birth yes no Kayak Canoe
SECTION C THE COST OF RENEWAL
Please fill in the appropriate amount in the space indicated:
Class of Membership Annual Renewal Fee Relevant Amount
Full Membership £20
Junior Membership £15
Family Membership £35
TOTAL AMOUNT ENCLOSED WITH APPLICATION
Cheques and Postal orders should be made payable to “Hambleton Paddlers”
Lead members Signature
Please return your completed Renewal form to the Membership Officer:
101 Corporation Road,
Before doing so, please ensure that:
You have completed all of the relevant parts of the renewal form
You have enclosed the appropriate fee
You have signed the form
For Office Use
Date received: Correct fee enclosed? Application complete?
Membership approved? Membership No: Processed Date
YES/NO by: notified?