Malta Sea Kayak Club aka Seakats
affiliated with the Malta Canoe Federation email:
[email protected] KMS Reg. C165
Membership Renewal Form Year 2015 Membership covered by this renewal ends 31 December 2015 Forename/s: House number, Name, Street: Town: Landline: ID / Passport No.: Email address: Emergency contact name, mobile number: Key Number: Equipment value for insurance: Kayaking Qualifications Coach/Instructor One Star Paddler Two Star Paddler Three Star Paddler One Star Coach Two Star Coach Three Star Coach
Surname: Postcode: Mobile: Date of Birth (dd/mm/yyyy): Gender (M/F): Racking Slot/s Ref: Date Awarded
Other Relevant Qualifications
Declaration and Mutual Charter I the undersigned, hereby agree to abide by the statue and bylaws, to assist in the promotion of canoeing as a sport and recreational activity to the general good and betterment of my fellow canoeists and members. I know of no reason, medical or otherwise, for which I should not or have been advised previously not to undertake any of the activities. I am able to swim 50 metres in canoeing clothing. I understand that my membership implies an undertaking to abide by the regulations as laid down by the Malta Sea Kayak Club, specifically those dealing with anti-doping regulations for athletes and coaches. I understand that canoeing is a risk sport and absolve the Club and its members from any damages and cover of all risks save those proven to have arisen from a lack of due care and duty of its officers. I agree to uphold a professional and sportsman like attitude towards canoeing and other members, athletes and coaches at all times, accepting their respect in return as part of the on-going fellowship of canoe sport. Disclaimer: The data collected above will be stored securely and will be only available to the committee of the Malta Sea Kayak Club for any internal requirements. This data will not be disclosed to any third parties in order to guarantee your privacy in accordance with the Data Protection Act.
Membership Rates: €40* plus €15** for use of club equipment & facilities plus €5 per go. * Membership rates include €20 affiliation passed on to the Malta Canoe Federation **Owners of boats stored at Club boathouse do not pay club equipment usage fees but can only use club equipment against payment.
Signed:
Date: Please complete form in full and return with payment to Malta Sea Kayak Club, PO Box 21, Zabbar ZBR 1000
Name:
Membership No.
I enclose payment for:
€
For Official Use only:
Membership
Payment Received
Use of Club equipment
with thanks on:
Racking Donations Total enclosed €
Treasurer, Seakats
Please make cheques payable to "Malta Sea Kayak Club", or to our bank account with Bank of Valletta, Gzira: IBAN: MT93VALL22013000000040019876159, SWIFT: VALLMTMT
Malta Sea Kayak Club - P.O. Box 21 – Zabbar ZBR 1000 – Malta
