2026-2027 YCKC Membership Form
Membership provides insurance coverage and enables you to participate in YCKC programs, trips and events. Memberships expire on March 31 of each year. This is a secure form.
Name
*
First Name
Last Name
Age
*
Gender Identity
*
Please Select
Female
Male
X
Prefer not to say
Current Place of Residence
*
Territory/Province
*
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
If outside Canada please select Yukon
Do you identify as a First Nations person?
*
Please Select
Yes
No
Prefer not to say
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Areas of Interest
Open Canoe
Whitewater Kayak / C1
Packraft
Raft
Sea Kayak
Tripping
Racing
Slalom
Freestyle
Social Events
Newsletter
YES! Subscribe me to the YCKC newsletter to get info on upcoming programs, trips, and events.
YCKC exists because of our volunteers. Would you be interested/able to help out with club events and programs?
Yes
No
How would you be interested in helping?
Day Tripping / Weekend Trips
Social Events
Beginner Programs
Serving on the Board
Memberships
*
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( X )
Single Adult Membership (18+)
$25.00 CAD
$
25.00
CAD
Single Youth Membership (under 18)
$15.00 CAD
$
15.00
CAD
Family Membership
Enter other members below this section
$60.00 CAD
$
60.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Family Member #2
First Name
Last Name
Family Member #2 Age
Family Member #2 Gender Identity
Please Select
Female
Male
X
Prefer not to say
Family Member #3
First Name
Last Name
Family Member #3 Age
Family Member #3 Gender Identity
Please Select
Female
Male
X
Prefer not to say
Family Member #4
First Name
Last Name
Family Member #4 Age
Family Member #4 Gender Identity
Please Select
Female
Male
X
Prefer not to say
Family Member #5
First Name
Last Name
Family Member #5 Age
Family Member #5 Gender Identity
Please Select
Female
Male
X
Prefer not to say
Family Member #6
First Name
Last Name
Family Member #6 Age
Family Member #6 Gender Identity
Please Select
Female
Male
X
Prefer not to say
Submit
Should be Empty: