Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Single (Paddle UK Member) Single membership where you are also a member of Paddle UK. Only available to people aged 18 or over.	£50.00
	Single (Not a Paddle UK Member) Single membership where you are not a member of Paddle UK. Only available to people aged 18 or over.	£54.00
	Student (Full time) For people in full time education Only available to people aged 16 or over.	£35.00
	Family (Paddle UK Members) For a family, living at the same address. Only available to people aged 18 or over.	£85.00
	Family (Not Paddle UK Members) For a family, living at the same address. Only available to people aged 18 or over.	£93.00

Storage Section

Category	Requirements	Cost
Kayak Storage Storage of a Kayak (not a sea kayak) in the Barkstore. Kayak must be under 12 feet / 3.6 m.	Honorary Membership Junior Single (Not a Paddle UK Member) Single (Paddle UK Member) Student (Full time)	£20.00
Sea Kayak Storage Storage of a Sea Kayak in the Barkstore. Kayak must be under 12 feet / 3.6 m.	Honorary Membership Single (Not a Paddle UK Member) Single (Paddle UK Member) Student (Full time)	£40.00
Canoe (open boat) Storage Storage of a Canoe (open boat) in the Barkstore.	Honorary Membership Junior Single (Not a Paddle UK Member) Single (Paddle UK Member) Student (Full time)	£40.00
Dinghy Storage Storage of a Dinghy in the Barkstore.	Honorary Membership Junior Single (Not a Paddle UK Member) Single (Paddle UK Member) Student (Full time)	£60.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://www.upperhamblecc.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://www.upperhamblecc.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Upper Hamble Canoe Club,

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

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