Mallaig Canoe Club Membership   Membership Application Form

If you have any problem with the form, highlight the whole form and Copy it. Open an e-mail to sheilakingswood@gmail.com and paste the form into the body of the  e-mail OR print off and snail mail to Sheila at the address above.


Applicant Name(s)

Address     Post Code Telephone Mobile
E mail address 1 Email address 2

Please list any canoes or kayaks you have:

What types of paddlesport are you most interested in: e.g. sea kayaking,whitewater or open canoeing.

Previous paddling experience

Please list any paddlesport qualifications you have e.g. star test awards, coaching qualifications:

Date of birth

SCA number (if a member)

Annual membership fee paid (renewal date 1st. January):

Please note that if you are NOT an Individual SCA member there will be an additional fee of £4 per adult and £1 per child payable to cover the new increased affiliation fees. See here http://canoescotland.org/join-us/membership for information about SCA membership.

Family £30 Individual £20 Unwaged/OAP £15 Junior £5 £4 per adult £1 per school age child
Please select payment method
TOTAL AMOUNT PAID £

Signed Date

Payment can be made:
directly to the bank Sort code 83-20-16 Account no. 10861260
or
by cheque payable to "Mallaig and District Canoe Club" - send to Sheila Kingswood, Sgiath House, Arisaig, Inverness-shire PH39 4NS

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The club has an active child protection policy.
N.B. Please note that by signing this form you agree to abide by the Club's Code of Conduct" - see website for details.

How information about you will be used
Personal information which you supply to Mallaig and District Canoe Club may be used in a number of ways by both by us and the Scottish Canoe Association, the sports governing body, to which we are affiliated, for example:
• to administer and manage your membership and related benefits. Your information will be held by us and by the SCA in a central membership database
• to provide you with details of forthcoming activities etc.
• we may pass your personal information to the insurer in the event of our club making an insurance claim

By signing this form you agree that we may use and disclose your information for the purposes described above. If you have an issue with this for any reason please contact Joan at smith.joan@hotmail.co.uk.

Benefits of affiliation

You may wish to consider personal membership of the SCA.  Information can be found at http://canoescotland.org/join-us/membership