Register - Lanikai Canoe Club

I am:

A New Member (1st time with LCC)

A Returning Member (renewing for 2022)

My Membership Profile

Please complete all required fields for your profile and selection of Club Activities.
Please pay online, if you really need to pay by check or cash, we can make arrangements.

Hidden

Membership End Date

Name:(Required)

Legal name please, for the paddler.

First Last

Birthdate(Required)

Age on January 1st, 2022(Required)

Years of Age. Whole numbers only. Example: 28
Youth Paddling registration is closed for 2022.

Please enter a number from 7 to 99.

Parent or Legal Guardian(Required)

First Last

Consent(Required)

I am the parent or legal guardian of the registrant, who is a minor, and I agree to allow them to participate in LCC's 2022 paddling season.

I Consent

COVID Vaccinated

Fully Vaccinated (2 doses of Moderna or Pfizer; or 1 dose J&J)

Not yet

Booster?

Yes

Gender Identification:(Required)

Male

Female

Non-Binary

Email(Required)

Cell Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

New or Experienced Paddler?(Required)

LCC welcomes new paddlers, but for your safety and the safety of all our members, you'll be required to participate in a series of training sessions in March, before you are allowed to paddle in a six person canoe with us. Mahalo nui for your kōkua to keep us all safe.

If you have paddled with ILH, OIA, Na'Oipo, or are transferring to LCC from another canoe club, please provide the name/organization and of the club and the most recent year you were active. You may also describe your paddling or coaching experience if you wish.

Any medical problems we should be aware of?(Required)

Can You Swim?(Required)

Yes

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

(For applicants under 18, please list a parent/guardian as the emergency contact. You may add additional information or contacts in the "additional information" box below.

Is there any additional Information you wish us to have?

Upload Identification Document (Drivers license, passport, military ID, birth certificate, etc.)

Max. file size: 4 MB.

Upload digital picture of face (for paddling ID). No hats or sunglasses, like a passport photo.

Max. file size: 4 MB.

If you are unable to upload, you may bring them to the Long House or a membership event. Or email your photos to desibill@lanikaicanoeclub.org

Sign, and Proceed to Select Club Activities>>

Signature(Required)

Under 18 yrs of age, PARENT or LEGAL GUARDIAN must sign for the youth registrant. I understand that membership dues and activity fees are non-refundable, non-transferable, and not prorated. I agree to adhere to the COVID-19 paddling requirements and attest that I, or my child is fully vaccinated. I understand that if circumstances arise that are outside the Lanikai Canoe Clubʻs control, activities may be suspended or rescheduled.