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					                                                                                              To be completed by Membership Secretary
                                    MEMBERSHIP                                                Membership No / Club Expiry year


                                      FORM
                                                                                              New member


                                www.sheffieldcanoeclub.co.uk
Please complete this form in block capitals and return with the correct fee to the Membership
Secretary or a Committee Member                      (NB - See notes on back of this form)

Membership Categories & Renewal Fees (Tick box as appropriate - See over for New Member fees)
Full Member                £25.00
                               Individuals over 18 yrs
Families / Couples         £30.00
                               Couples, families and children
Concessionary              £15.00
                               1) Full time students (living or working away from the area for 6 months or longer)
                               2) OAP’s
                               3) Unemployed (proof will be required)
                               4) Non paddling members
                                                                                (Please enter relevant number in box)
Youth                  £15.00 Under 18 yrs (This also includes membership for a non-paddling parent or guardian)
A full member is also needed for these categories: -
Affiliated Group           £35.00    The canoe section of an organisation
Affiliated District        £55.00    The canoe section of an organisation
If you wish to have a more detailed explanation of these categories please contact the membership secretary
From time to time photographs are taken at club events for the purpose of publicity. If you do not wish to be
included in these, please tick this box:

Member Details
Surname                                                       First Name

Address


                                     Post Code                                         Telephone No

IMPORTANT - E-mail address:                                                                                   News letter by E-mail
Date of birth (if under 18 yrs)                               BCU membership number (if applicable):

If you hold any BCU qualifications or awards, please list below (Also see back of form): -

   ………………………………………………………………………………………………………….……………………………………………
FAMILY & Couples
Name (AND DATE OF BIRTH IF UNDER 18 YRS) of each family member and BCU qualifications held. Please put non-paddling members in
brackets.

1. ………………………………………………………….                                                 2……………………………………………………..

3……………………………………………………………                                                   4……………………………………………… ..

AFFILIATED GROUP OR DISTRICT
Name of affilated group ………………………………………………………..………………………………………………………………
Name of full member responsible for group ……………………………………………………………………………………………….

I enclose payment in the sum of £………..…...…                            Cheques should be made payable to Sheffield Canoe Club
Form of payment (delete as applicable): Cheque / Cash                             Payment received by: ……………………....……

This form should be signed by the prospective member, i.e. Adult member of the family for Family membership, parent or guardian of a Youth
member under the age of 18 yrs or Full members who are the canoeing leader of an Affilaited Group or District.


I / We agree to abide by the constitution laid down by Sheffield Canoe Club


Signature                ………………………………….                                    Date        ………………………………….
The information on this form is to be held on a database in strict confidence for Club records only and will not be disclosed to any third parties




                                                    Membership Receipt

                                             Full                 Name: ...........…………………………….......................
                                        Family
                                    Concession                    £ …...………… Received on: ........……………........
                                         Youth
                                      Affiliated                  Payment Received by: ……………............................
Payment of Membership Fees
Please send your completed membership form enclosing a cheque made payable to Sheffield Canoe Club to: -

             Membership Secretary                  Mr. A Crofts
                                                   5 River Bank
                                                   Oughtibridge
                                                   Sheffield S35 0GW
Alternatively, you can pass your membership form and payment (cheque or cash) to a Committee Member
at the regular baths sessions at Hillsborough Leisure Centre, in Sheffied between 9.00 and
10.30pm on Friday evenings. See www.sheffieldcanoeclub.co.uk for details.


Please Note that: -
Membership runs from 1st October to 30th September (except for Affiliated Groups and Districts)
Membership Fees (NEW MEMBERS* ONLY) are reduced when joining after 1st April, see scale below.
Membership not renewed by November 30th will be taken as lapsed.
Affiliated Group or District memberships not renewed within 2 months following their individual expiry dates will be taken as lapsed.
* New Member status can only be claimed by a person who has not been a member during the pervious 2 years.

Membership Fees - 2010/2011

                               Full       Family   Concession     Youth     Affiliated Group Affiliated District
                 Renewal      25.00       30.00      15.00        15.00            35.00            55.00

   New Members ONLY            Full       Family   Concession     Youth
       October to March       25.00       30.00      15.00        15.00
                   April      12.50       15.00       7.50         7.50
                    May       12.50       15.00       7.50         7.50
                   June       12.50       15.00       7.50         7.50
                    July      12.50       15.00       7.50         7.50
14 months        August       29.00       35.00      17.50        17.50
13 months   September         27.00       32.50      16.00        16.00

Membership Cards
Membership cards will be distributed asap after the Membership Secretary has received your correctly
completed membership form. Your membership card can be collected at baths sessions or
at the River Don site at Oughtibridge.
Members of Affiliated Groups and Districts can obtain membership cards from their leader who is a full member
of Sheffied Canoe Club.

NOTE - For insurance purposes, members of Sheffield Canoe Club and Affiliated Groups and Districts must be
      prepared to show their card as proof of membership before taking part in any club activities or events.

Coaching and First Aid Qualifications
             Please enter expiry dates for all qualifications held:-

               name of       BCU          Canoe       Kayak       Canoe           First             CRB
               Member      Membership     Safety      Coach       Coach           Aid              Check

				
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