Kayak Membership Application Form Date Application Month * January - 0February - 1March- 2April - 3May - 4June - 5July - 6August - 7September - 8October - 9November- 10December - 1110 year life membership - 132 Surname * Full First Names * ID Number * Passport Number (If applicable) Age Group: * Junior19 to 2930 to 3940 to 4950 to 5960 to 6970 to 79>80 Pensioner Date of Birth * Shirt Size SMALLMEDIUMLARGEX LARGEXXLARGE Residential Address * Postal address ( if Different) Home Tel No: Work Tel No: Mobile Tel No: Email Address * Employer: Occupation: Address: Marital Status: MARRIEDSINGLEDIVORCED If Married, wifes name: automatically included in your family membership Section Dependant Childrens Name automatically included in your family membership Age: 6 years7 years8 years9 yeaars10 years11 years12 years13 years14 years15 years16 years17 years18 years Add Remove Type of Membership: * Full membership 2024 - R 1550Up Country Member (>100Km) - R1240Student member ( (18 to 25 yr) - R300Junior members <18 yr - R50 Please select January for app month on Life member. Pro rata Subs for the year: Total Due for the year. Club(s) and Standing Kayak Name: Type of Craft KayakPaddleskiNone Length in meters: Colour: Craft Number Valid Safety Equipment Yes No Valid Skippers ticket: Yes No RSC Radio Licence Yes No Experience at Sea NoneLess than 1 year1 to 2 years2 to 5 years5 to 10 yearsMore than 10 years I hereby undertake to abide by the Constitution of the Cape Boat and Ski Boat Club and understand that the termination of my membership can only occur according to the constitution of the Club. I understand that should my membership be approved it will be subject to a probation period of 3 months. I accept that yearly subscriptions are due by the 1st January yearly, and should I want to resign from the Club, my letter of resignation must reach the Club Secretary / Manager before the 31st December in any given year, or it will be assumed that I wish to continue my membership for the ensuing year, and that I will be liable for subscriptions for the following year. I declare that the information provided overleaf is true and correct in every aspect and understand that my membership will be terminated if this is found to be incorrect. A copy of the Constitution and Bylaws is available on the web site and has been read. I hereby agree that I have read and will abide to the conditions as presented above. NO APPLICATIONS WILL BE CONSIDERED UNLESS COMPLETED IN FULL AND ACCOMPANIED WITH PROOF OF PAYMENT AND AN ID PHOTOGRAPHS MUST BE ATTACHED. SEE BANKING DETAILS BELOW. Terms and conditions: * Accepted Full Name as Signature. (Parents if Applicant is a Minor): * Applicants ID Photo * Drop a file here or click to upload Choose File Maximum upload size: 3MB Member Proposer: Enter" new member" if no proposer * Member Seconder: Enter" new member" if no proposer * Address and cell no. Address and cell no. All payments are to be made payable to: Standard Bank, Fish Hoek Branch Code: 03 600 09 Account. No: 072 125 861 Submit