Membership Checkout

Membership Information

You have selected the Full Membership membership level.

The waiver is now part of the checkout when you sign up.
Full membership includes voting rights.

The price for membership is $50.00 now.

Membership expires after 1 Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Make a Gift

Donation Amount

Donations to assist our programs. Donations currently are earmarked to support our pool and will largely be used for tips for guards and staff.

Emergency Info

Your Pronouns

optional

Under 18

Emergency Contact Name

Emergency Contact Phone

Your Information

Phone

Address

City

State

Zip

Description

Feel free to include boats or paddling skills and preferences - or just leave blank.

Legal Name

For legal (insurance) reasons. Not displayed publicly.

Picture

So folks will recognize you - Recommended size is 100px X 100px

Choose Your Payment Method

Pay with PayPal

Pay by Check

To pay with a Credit Card choose pay with PayPal.

No PayPal account is required. You will be taken to the paypal site. KCCNY will not have access to your credit card info.

I agree to the WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

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