Membership

Name

First

Last

Mobile Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Would you be interested in volunteering to help out the club?

Membership Type (select one)

Please select the type of membership needed

Canoe, Kayak Slip / Boat Storage

Please select how many boats you wish to store for the season. Kids boats are free, however they must share parents slip.

How many kayaks will you be storing?

Selected Value: 0

Kayaks Only - do not include canoes or row boats

How many canoes or row boats will you be storing?

Selected Value: 0

Canoes or Row Boats only - do not include kayaks

Slip # (if known)

Total Amount

$0.00

Stripe Credit Card

Card

Name on Card

Comment or Message