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Sunday, September 05, 2010

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We are currently open for new memberships.

Enquiry Form

Please complete the form below as fully as you can. This helps us give you accurate and relevant information about EEKCC. Thank you.

Please enter your first name

First Name:

Please enter your last name

Last Name:

Please enter your email address

Email Address:

Please enter your cell phone number

Phone:

Please select the age range you are enquiring about

Age Range:

Please enter a value for the field Area of Interest.

Area of Interest:

Rivers
Sea
Lochs
Canoe
Kayak

Please enter a value for the field Experience.

Experience:

NoneNoviceIntermediateAdvanced

Please enter a value for the field Do you have your own boat.

Do you have your own boat?:

YesNo

Please enter a value for the field Do you have any paddling qualifications?.

Do you have any paddling qualifications?:

E.g. - 2*

Please enter a value for the field Do you have any coaching qualifications?.

Do you have any coaching qualifications?:

E.g. - Level 2, Foundation Safety and Rescue Trainer

Please enter a value for the field Any additional comments?.

Any additional comments?:

E.g. enquiring about membership for a family

The information in this form will only be used to answer your enquiries about EEKCC. We will not share the information with any third parties.

Eastwood and East Kilbride Canoe Club is not responsible for the content of external internet web sites

EEKCC is a private members only canoe club. It is not a commercial undertaking.

05/09/2010 06:03

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