In order to be a member, you are required to join both the Central California Canoe Club (C4) and the American Canoe Association, Inc. (ACA). When applying for membership, you may join as an individual or members of a household. In order to be a member, everyone over 18 years of age must sign the liability waiver and parents and/or guardians must sign for minors. For a household membership, all members of a household must join at the same time. Dues are prorated on a quarterly basis. The combined annual dues for individual memberships is $25 and for household membership is $35. STEP 1 - SELECT YOUR MEMBERSHIP TYPE Individual Membership:  Pay one of the following amounts for your membership based on the date of registration: 1st Quarter (Feb 1 to Apr 30) total payment = $25.00: C4 portion = $10.00 ACA portion = $15.00 2nd Quarter (May 1 to Aug 31) total payment = $18.75: C4 portion = $7.50 ACA portion = $11.25 3rd Quarter (Aug 1 to Oct 31) total payment = $12.50 C4 portion = $5.00 ACA portion = $7.50 4th Quarter (Nov 1 to Jan 31) total payment = $6.25 C4 portion = $2.50 ACA portion = $3.75 Household Membership:  Pay one of the following amounts for your membership based on the date of registration: 1st Quarter (Feb 1 to Apr 30) total payment = $25.00 C4 portion = $10.00 ACA portion = $15.00 2nd Quarter (May 1 to Aug 31) total payment = $18.75 C4 portion = $7.50 ACA portion = $11.25 3rd Quarter (Aug 1 to Oct 31) total payment = $12.50 C4 portion = $5.00 ACA portion = $7.50 4th Quarter (Nov 1 to Jan 31) total payment = $6.25 C4 portion = $2.50 ACA portion = $3.75 STEP 2 - LIST ALL MEMBERS Fill in all available information for individual or each household member registering. Use the first Name for an individual membership. Or, for a family membership, use as many Names as needed: First member (family membership) or Individual (Individual membership): Name: Home Phone: Work Phone: E-Mail: ACA# Additional member: Name: Home Phone: Work Phone: E-Mail: ACA# Additional member: Name: Home Phone: Work Phone: E-Mail: ACA# First member: Name: Home Phone: Work Phone: E-Mail: ACA# First member: Name: Home Phone: Work Phone: E-Mail: ACA# First member: Name: Home Phone: Work Phone: E-Mail: ACA# First member: Name: Home Phone: Work Phone: E-Mail: ACA# Mailing Address: STEP 3 - ADDITIONAL INFORMATION Check all that applies to any applicant and fill in any additional information: Lake Paddling Day Trips Moving Water Weekday Trips (which days? ) Whitewater Canoe Camping (# of days ) Car Camping Other: Please answer the following questions that apply to any applicant: What class of Whitewater have you paddled? SELECT ONE Class 1 Class 2 Class 3 Class 4 Class 5 This rating is to help you find paddlers with similar skills, or skills suitable for a trip you would like to put together. Please remember the rating is for average summer flows. Spring run-off trips with colder and swifter water may often mean that a class II trip is more like a class III. Also, you may not be paddling at the same skill level early in the season as you were at the end of last season. What is the highest class of river you presently feel comfortable paddling? SELECT ONE Class 1 Class 2 Class 3 Class 4 Class 5 In what ways would you be willing to volunteer? Trip leader; Flat water Class 1 moving water Class 2 moving water Class 3 moving water Class 4 moving water Trip organizer Club Officer   When you "REGISTER" this form, it will be sent via email to the club. It will be held until payment is received via mail. If you are unable to "REGISTER" this form due to browser problems, then simply print this form, fill it in and mail it along with a check payable to "Central California Canoe Club" to the following address: Central California Canoe Club P.O. Box 1821 Nevada City, CA 95959