First Name

Last Name

Email

Gender

Salutation

Username

Password

Confirm password

Address

Address2

City

Post Code

County

Country

Address Type

Work Phone

Home Phone

Mobile Phone

DOB

Spouse

Notes

Address

Address2

City

State

Zip Code

County

Country

Certifications

Paddling Experience

Referral Source

Referral Source Member Name

Membership Type

Family Membership - £147.00

Adult Membership (23 and over) - £101.00

Young Member (Between 18 - 22) - £80.00

Youth Under 18 (minimum age currently 8) - £61.00

Student (Over 18 & in full-time education) - £61.00

Senior Citizen (Over 65) - £61.00

Friend of VKC (Non-Paddler with links to the club) - £12.00

Payment Method

Credit Card

Type the code below

Membership Application