ON-LINE MEMBERSHIP APPLICATION FORM

Membership Type: (See constitution if unsure)
Forname:	*required field
Surname:	*required field
Password: (Used for accessing the members only area)	*required field
Rank:
Service No:
Home/Mobile Tel:	*required field
Work Tel:
BCU Number:
Home Email: (for correspondence and distributing newsletter)	*required field
Work Email:
SMA: (or Unit/Ship if unknown)
Sports Lottery: (tick if a member)
Kayak Coaching Qualifications:
BCU Level 1 Coach:
BCU Level 2 Coach:
BCU Level 3 Inland kayak Coach:
BCU Level 3 canoe coach:
BCU Level 3 sea coach:
BCU Level 3 surf coach:
BCU A4 inland assessor:
BCU A4 canoe assessor:
BCU A4 sea assessor:
BCU A4 surf assessor:
BCU A5 inland assessor:
BCU A5 canoe assessor:
BCU A5 sea assessor:
BCU A5 surf assessor:
Kayaking Qualifications:
Paddlesport Start:
Paddlepower Passport & 1 Star:
Paddlepower:
2 Star:
Paddlepower Explore:
3 Star White Water:
3 Star Canoe:
3 Star Sea:
3 Star Surf:
4 Star White Water Leader:
4 Star Canoe Leader:
4 Star Sea Leader:
4 Star Surf Leader:
5 Star White Water Leader:
5 Star Canoe Leader:
5 Star Sea Leader:
5 Star Surf Leader:
Other Kayaking Qualifications: ( i.e. Old Star Awards)
Kayaking/Canoeing Interests:
Surf:
Canoe Polo:
Sea Kayaking:
White Water Racing:
Slalom:
Freestyle:
Sprint & Marathon:
General River Running:
Local Area:	*required field
NOK: (This information is only passed to event organisers when you attend an RNKA event)
I agree that any photographs taken while involved in RNKA events can be used for publicity purposes including publishing on the RNKA website.