Membership form

Before you start

One form for your household

Add an adult contact and payer, then the details of each person joining. Have dates of birth and emergency contact details ready.

Club membership

£12.00 per member / year

Renews on 1 December.

Joining partway through the year? Pay £1.00 for each remaining month, including the month you join.

Choose a session plan

£30.00 per member / month

£360.00 for the December–November year, paid in monthly instalments. New members pay for the remaining months, including the month they join.

Or pay as you go
£10 per session.

See how your session fees support the club

Payment after registration

Review the total for your household.
Set up Direct Debit securely with GoCardless.
GoCardless emails you the collection dates.

No money is collected when you submit this form.

Under-18s need a parent or guardian. Before renewal, we will email you to check your details and confirm who wants to continue.

1. Adult contact and payer

Full name

Email address

We’ll use this address for your application and annual renewal. Enter it once for the household.

Phone number

I am aged 18 or over and will arrange payment for the members listed.

Address line 1

Address line 2 (optional)

Town or city

County (optional)

Postcode

2. Add your members

2. Add your members
Member first name Member last name Member date of birth Used to check whether a parent or guardian is needed. Enter the member’s date of birth, not the payer’s. Adult member email (optional) For under-18s, use the guardian contact fields below. Previously supplied address (optional) Address line 1 Address line 2 Town or city County Postcode Parent or guardian full name Relationship to member Parent or guardian email Parent or guardian phone I am this member’s parent or guardian and consent to their membership and participation. Emergency contact name Someone we can contact if this member needs help during a session. Emergency contact relationship Emergency contact phone Medical information and support needs (optional) Tell us about any medical conditions, allergies, medication or support needs relevant to safe participation, and what coaches should do in an emergency. Only include information the club needs to support this member. For under-18s, a parent or guardian should complete this field. Contact the club if you prefer to discuss this privately. Paddle UK membership number (if held) Pronouns (optional) Gender (optional) Paddling, coaching or leadership qualifications (optional) Session fee preference The £12.00 annual membership fee is separate. The pool plan is a £360.00 yearly commitment, paid in £30.00 monthly instalments. New members commit only to the months remaining until 1 December, including the joining month. We’ll contact you before renewal to confirm you wish to continue and check your details. I give permission for this member’s photo to be used on the club website, social media and in local press. Optional. Leave unticked if you do not give permission. Contact the club to change this choice. For under-18s, the parent or guardian makes this choice. I understand that canoeing involves risk and accept the risks of participation for this member. I agree that this member will follow the club rules and codes of conduct. Read the code of conduct for members. This member can confidently swim 25 metres.

Member first name

Member last name

Member date of birth

Used to check whether a parent or guardian is needed. Enter the member’s date of birth, not the payer’s.

Adult member email (optional)

For under-18s, use the guardian contact fields below.

Previously supplied address (optional)

Address line 1

Address line 2

Town or city

County

Postcode

Parent or guardian full name

Relationship to member

Parent or guardian email

Parent or guardian phone

Emergency contact name

Someone we can contact if this member needs help during a session.

Emergency contact relationship

Emergency contact phone

Medical information and support needs (optional)

Tell us about any medical conditions, allergies, medication or support needs relevant to safe participation, and what coaches should do in an emergency. Only include information the club needs to support this member. For under-18s, a parent or guardian should complete this field. Contact the club if you prefer to discuss this privately.

Paddle UK membership number (if held)

Pronouns (optional)

Gender (optional)

Paddling, coaching or leadership qualifications (optional)

Session fee preference

The £12.00 annual membership fee is separate. The pool plan is a £360.00 yearly commitment, paid in £30.00 monthly instalments. New members commit only to the months remaining until 1 December, including the joining month. We’ll contact you before renewal to confirm you wish to continue and check your details.

I understand that canoeing involves risk and accept the risks of participation for this member.

I agree that this member will follow the club rules and codes of conduct.

Read the code of conduct for members.

This member can confidently swim 25 metres.

Complete one member’s details, then use “Add another member” for anyone else joining. Include yourself if you are joining too. Fields marked * are required.

Read the privacy policy and club rules and policies. The club uses these details to administer membership, contact you about club activities and check your details at renewal. This form does not automatically transfer your details to Mailchimp, Spond or Paddle UK.

3. Check and send

Check each member’s details and session option before submitting. You will review the household charges before authorising Direct Debit with GoCardless. Collection is not instant; GoCardless will confirm the dates.

I confirm these details are accurate and I am authorised to submit this application for every member listed.