Join
Please complete the following form and progress to the fee payment page.
Need to RENEW or JOIN a JUNIOR or MINNOW? - CLICK HERE
SENIOR Membership form (for New Members)
AOCRA Number **

You must have an AOCRA number to join Noosa Outrigger Canoe club. Click here to visit AOCRA.

User Email *
Gender *
First Name *
Last Name *
User Name *
User Password *
Confirm Password *
Date of Birth *
First Line of Address*
Second Line of Address
Third Line of Address
Suburb *
State *   
Postcode *
Home Phone Number
Mobile Number*
Preferred Group *                
Are you able to swim 400 metres and tread water for 5 minutes? *   

  

Do you have a medical condition that could impact your safety or the safety of others when training or racing Outrigger Canoes? *   

  

Comments:*
Emergency Contact NAME*
Emergency Contact PHONE NUMBER*
Emergency Contact RELATIONSHIP*
  

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