Membership Application Form – Errit Kayak Club

Apply to Join Errit Kayak Club!

We love welcoming new members to our club!
Please read our How to Join page before filling out this form and note that this is a voluntary-run club so it may take a few days to get back to you after you have submitted your application.

Your First Name *

Your Last Name *

Your Date of Birth *

Please note that Errit Kayak Club can only accept members 18 years of age and over.

Your Phone Number *

Your Email Address *

Address Line 1 *

Address Line 2

Town *

County *

Eircode *

Indemnity Statement *

I have read and accept the Indemnity Statement.

Club Constitution *

I have read and accept the Club Constitution.

Do you have any medical conditions that we should be aware of?Are there any physical or other medical condition(s) that the Club should be aware of? If yes, please give details. Information provided here will be kept in the strictest confidence.

First Name of Emergency Contact *

Last Name of Emergency Contact *

Emergency Contact Phone Number *

Do you have any previous kayaking experience? *I have no previous experienceI have some kayaking experience but no skills awardsI have previous experience and hold at least a Level 2 Skills AwardPlease select only one option.

Please provide your Canoeing Ireland Membership Number and details of your Skills Awards. *

Do you own any of your own equipment?Essential equipment (boat, paddle, buoyancy aid, helmet) are supplied by the club however we cannot provide personal equipment (wetsuit, shoes, cags etc).

Photography Consent *I am happy for my image to be used by the Club.I do not give my consent for my image to be used by the Club.With your permission, the club may wish to place pictures of you kayaking on its website and social media. Please indicate whether you are happy for your image to be used in this way.

Anything else?Please use this field if there is anything else you would like to tell us.

Please do not fill in this field.