Membership Form

Please see the Fees schedule for a break-down of our membership fees.

Aratika Water Sports Club membership fees are required to be paid on an annual basis. This enables all members to participate in Regional, National and International Events.

    Please choose the Membership you are applying for

    Registered NKOA ID*:

    Do you need a new card? yesno

    Passport Surname*

    First Name*

    Middle Name

    Preferred First Name

    Gender

    Street Address

    Suburb

    City

    Region

    Post Code

    Landline Ph No

    Mobile

    Email (required)

    Date of Birth (DOB)

    Ethnicity

    Main Iwi (Maori)

    Please upload a scan of your Passport / Drivers License so we can verify your name and DOB

    Are you able to swim 50 meters unassisted ? yesno

    Can you tread water for 5 minutes? yesno

    Do you have a disability? Including sight or hearing etc ? yesno

    If you said 'yes' to the previous question, please provide details:

    Name of next of kin

    Mobile for next of kin

    Name of GP doctor

    Doctor's Phone Number

    Name of parent / guardian

    I hereby give permission for media (photographs, video, and images) of myself / my child (18 years and under) to be used by Aratika Water Sports Club Inc on social media such as Facebook and any other platform for marketing purposes. yesno

    Type your name below. This is equivalent to a digital signature

    Date