MALLAIG & DISTRICT CANOE CLUB

Membership Application Form

Applicant Name(s)

Address

Telephone

Mobile no.

E mail address

Please list any canoes or kayaks you have:

Are you interested in any specific types of paddlesport eg sea kayaking, whitewater or open canoeing. Please list what interests you:

If you have any paddling experience, please list it:

Please list any paddlesport qualifications you have eg star test awards, coaching qulifications:

Annual membership: Family £20, Individual £15, Unwaged/OAP £10, Junior £1 Please send a cheque payable to Mallaig & District Canoe Club to Deirdre Roberts, 3 Bracara, Morar, Inverness-shire PH40 4PE

The club has an active child protection policy

TO SUBMIT THE FORM:

• Highlight the whole form and Copy it

• Open an e mail to deirdrebracara@hotmail.com  and Paste the form into the body of the  e mail