Test Membership Form

In this version I removed the fields for entering the other adult info for a family membership.

CCC Membership Application Form

------------- Membership Type -------------

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

------------ Emergency Contact ------------

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

----------------- Volunteers! -----------------

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

___________________ 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.

__________________ Almost Done! ____________________


Tell us anything you want!

Thank you ... and click Send below!