MEMBER FORMS | TARANAKI DRAGONS

Membership registration

Fill in the online form below to register as a member.

First Name

Last Name

Address

Phone Number

DOB

Next of kin (Name and contact phone)

PLEASE TICK

Email is the main form of formal communication. Are you happy to receive emails?

Do you hold a current First Aid Certificate and are you happy to go on register?

I confirm that I am confident in the water, am able to swim 50 metres, and will wear a life jacket at all times. OR

I am not confident in the water; I will wear a life jacket at all times and I will inform the Team Captain/Sweep that I may require assistance.

I agree to take all reasonable care of TD team clothing and always return items clean and promptly after use.

I will sign the Clothing Agreement Form.

I agree that participation in regattas, including travel and accommodation expenses will be the responsibility of each paddler, unless funding has been secured by the team.

FOR BREAST CANCER (BC) SURVIVORS*

I confirm I have had a diagnosis of breast cancer.

I confirm that I am medically and physically fit to paddle.

*Please note: Some BC Regatta's require a signed medical verification of BC diagnosis and that you are fit to paddle.