Registration

Primary Contact:

Name:

Position in the Organization:

Address:

City:

Province:

Postal Code:

Phone:

Fax:

Website:

Club Information ONLY if applicable:

Club Name:

Alberta Registry Society Number:

Yes

 No

Please complete the following for NFP or Club organizations ONLY if applicable:

President Name:

Phone:

Treasurer Name:

Treasurer Email:

Treasurer Phone:

Vice President Name:

President Email:

President Phone:

Which of the above contacts would you like us to email and send information to?

Club

Primary Contact 

Paddle Alberta is contacted by Alberta paddlers requesting information on clubs/organizations in their area. Indicate what contact information you would like Paddle Alberta to distribute to the general public.

Phone

Email

Website

All club contact info

Please do NOT distribute any information on our organization to the general public.

Are you interested in the Paddle Alberta Sport Liability Insurance Program?

Yes

No

Not-For-Profit Information ONLY if applicable:

NFP Name:

Commercial Membership Information ONLY if applicable:

Business Name:

Affiliate Membership Information ONLY if applicable:

Affiliate Name:

Craft Designation: What types of boats does your club use to participate in organization-based activities? Please enter it as a %:

Canoe:

Kayak:

Paddleboard:

Other:

I agree to complete the above named commitments

Club Address:

Club City:

Club Province:

Club Postal Code:

Club Phone:

Club Fax:

Club Email:

Club Website:

NFP Address

NFP City:

NFP Province:

NFP Postal Code:

NFP Phone:

NFP Fax:

NFP Email:

NFP Website:

Commercial Address:

Commercial City:

Commercial Province:

Commercial Postal Code:

Commercial Phone:

Commercial Fax:

Commercial Email:

Commercial Website:

Affiliate Address:

Affiliate City:

Affiliate Postal Code:

Affiliate Phone:

Affiliate Fax:

Affiliate Email:

Affiliate Website:

Insert the code: