This page has the Fluent Forms grouped together for testing. Membership Form Membership form Membership Application Form (2021 - 5) ORCKA Waiver Updates CCC Membership Application FormNew or Returning Member? New ReturningHow did you hear about us?FirstLastEmailPhone NumberAddressEmergency ContactPlease provide an emergency contact name and phone number - just in case.E First NameE Last NameE PhoneDo you currently rent space in the boathouse?Boathouse Yes NoPlease remember to complete and submit the Boat Description form.Do you plan to bring minors to a CCC event?This includes the open paddles from the boathouse and any club trip or event. A 'minor' is a person less than 18 years old.Minors Yes NoMinor's InfoPlease provide the minor's first and last names and dates of birth in YYYY/MM/DD format please..1st Minor's Info2nd Minor's Info3rd Minor's Info4th Minor's InfoInformed Consent & Assumption of RiskThe following Informed Consent agrement is mandated by ORCKA and is required to be signed by each member wishing to bring a minor to a club event in order for the CCC to obtain liability insurance. Please click here to read it. Then return to this page and check the 'I Agree' box below.Informed Consent I AgreeVolunteers!This is a 100% volunteer run organization. Can you help?Volunteering Boathouse Duty Special Events Leading Trips Administrative OtherWaiver of Claims The following Waiver of Claims is mandated by ORCKA and is required to be signed by each member in order for the CCC to obtain liability insurance. Please click here to read it. Then return to this page and check the 'I Agree' box below. Waiver of Claims I AgreeSignaturePlease type your name below. This is your signature.SignatureCommentsTell us anything you want!CommentsThank you ... and click Send below!Send Storage Application Storage Application form Storage Application Subscribe FirstLastEmailPhone/MobileType Canoe Kayak OtherOther DescriptionCommentsSend Boat Description Boat Description Boat Description (FFid 7) Notify FirstLastEmailPhoneType Canoe Kayak OtherOther DescriptionModelMakeLengthColourBoat House Key NumberOther distinguishing markingsMessageBoat Storage Policy - Read it! I AgreeSend Contact Form Contact Form Contact Form Contact FirstLastEmailComment or MessageSubmit Mailchimp Testing Subscription Form Newsletter First NameLast NameMember Type New ReturningSubscribe Check Box Test Check Box Test (#10) Notify First NameLast NameCheckbox Field Item 1 Boathouse Duty Item 3 Item 4 Item 5Submit Form
