Registration

Kia Ora,

Ngā mihi for choosing to become a member of

Te Kauika o Patuharakeke Waka Ama. Ka Rawe!

Our Waka Ama Year coincides with NZ Waka Ama, being Oct 1 - Sept 30. First year fees are as follows:

Oct-Mar = Full Membership Fee is due
Apr-Sept = 1/2 Membership Fee is due

Please review the Fees table below to Register your Membership Type.

One Registration Per Person Please.

Fees

* If selecting a Whanau Membership, please also register each whanau member separately.

The membership fees entitle you to:

participation in the social paddle, adult programme, and rangatahi programme,
use the club equipment (paddles, lifejackets, waka, etc),
allows you to attend training sessions and
gives you an opportunity to race competitively with our club.

Your fees also contribute to:

purchase new equipment,
transportation of waka to and from events
maintenance of the waka, and
insurance coverage of all equipment.

Bank Account Details for Payment
Account Name: Te Kauika o Patuharakeke Inc.
Account Number: 03-1538-0044093-000
Reference: Please enter your name

See you on the Moana!

Membership	WANZ Affiliation Fee	WANZ ID Card	Club Fee	Total
20-40 \| Open	17	7	51	75
40+ \| Masters	17	7	51	75
50+ \| Senior Masters	17	7	51	75
60+ \| Golden Masters	17	7	51	75
70+ \| Master 70	17	7	51	75
Whanau \| 2 Adults, 3 Tamariki	0	0	0	130
Social Paddle Only	0	0	26	26
6-19y \| Juniors	7	7	26	40

Member Details

Registration / Membership Type

If Whanau Membership, Payer or Dependent

First name

Last name

Phone

Age

Birthday

Day

Month

Year

Iwi | Hapu?

Water Readiness

Are you able to swim 50 meters unaided?

Are you able to tread water for 5 min?

Are you confident in deep water?

Health and Wellness

Do you have any allergies / conditions?

Emergency Contact

Please upload your image for your WANZ ID Card

Reminder: Not needed for a Social Paddle Only Membership

Statement of Truth

I confirm all provided details are correct and agree to notify the Club if any details change
I confirm I am / my child is of adequate health to participate in the Club sports and activities
I confirm I / my child has received sufficient information about the club
I consent to receiving medical treatment required by me or my child
Parent/ Guardian to sign if this person is under 18

Bank Account Details for Payment

Account Name: Te Kauika o Patuharakeke Inc.

Account Number: 03-1538-0044093-000

Reference: Please enter your name

Signature

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Registration

Kia Ora, Ngā mihi for choosing to become a member of

Te Kauika o Patuharakeke Waka Ama. Ka Rawe! Our Waka Ama Year coincides with NZ Waka Ama, being Oct 1 - Sept 30. First year fees are as follows:

Oct-Mar = Full Membership Fee is due

Apr-Sept = 1/2 Membership Fee is due

​Please review the Fees table below to Register your Membership Type​. ​​​​ One Registration Per Person Please. ​ Fees

* If selecting a Whanau Membership, please also register each whanau member separately.

​​​​

​The membership fees entitle you to:

participation in the social paddle, adult programme, and rangatahi programme,

use the club equipment (paddles, lifejackets, waka, etc),

allows you to attend training sessions and

gives you an opportunity to race competitively with our club.

​​​​

Your fees also contribute to:

purchase new equipment,

transportation of waka to and from events

maintenance of the waka, and

insurance coverage of all equipment.

​​​​​Bank Account Details for Payment Account Name: Te Kauika o Patuharakeke Inc. Account Number: 03-1538-0044093-000 Reference: Please enter your name ​​​ See you on the Moana!