Test WP Forms

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CCC Membership Application Form

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Membership Type

Are you a new or renewing member with a single or family membership?

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Contact Information

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Emergency Contact

Please provide an emergency contact name and phone number - just in case.

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Boathouse

I currently rent space in the boathouse.

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Volunteers!

This is a 100% volunteer run club. Would you help?

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Waiver

I understand there may be risks of personal injury while talking part in Club activities, and that the trip leaders are not necessarily certified or trained in first aid. I agree to carry out appropriate safety precautions. I understand that photographs of our group activities may be published on our website, in our newsletter, or on our Facebook page. By clicking the "I Agree" button below, I agree to these conditions and hereby release the Cataraqui Canoe Club from all liabilities related to Club activities.

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Comments?

Tell us anything you want!

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Thank you ... and click Send below!