Join the Application List

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New member's first name: *

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New member's last name: *

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New member's date of birth: *

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Primary contact's first name:

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Primary contact's last name:

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Primary contact's address:

Primary contact's postcode:

Primary contact's mobile number:

Primary contact's email address: *

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Are you willing to join as a Leader or Assistant?:

Are you willing to join the group Executive committee:

Do you have any boating or outdoors qualifications:

Do you have any skills or experience which would be of benefit to the group?: