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2018 Membership – 2nd Family Membership

January 1, 2018 to December 31, 2018
Second family membership at same address

The information collected on this form is collected by Fort Langley Canoe Club, P.O. Box 1098, Fort Langley, B.C. V1M 2S4 in accordance with its Privacy Policy which is available at  Canada’s spam legislation covers “commercial” electronic messages (CEM). Safety and other emergent content are not deemed CEMs and will be sent to you via email. Newsletters will be sent monthly via email and you will be able to “unsubscribe”. Signing this application gives FLCC implied consent to send newsletters and other electronic communications with an unsubscribe option.

WAIVER*: I have read and understand the 2017 waiver statement (Notice of Waiver) as displayed on the club website at I am aware that by electronically submitting this membership application I am waiving certain rights which I or my next of kin, heirs, executors, administrators and assigns may have against Fort Langley Canoe Club and others.
Conditions of Membership: I understand that by electronically submitting this membership application I agree to comply with all conditions of membership as displayed at
Code of Conduct: I understand that by signing this application form I agree to comply with all terms of the Members’ Code of Conduct as displayed at

You may allocate $21 from your fee to the club or a division or you may split the $21 between divisions and/or the club. If money is not allocated to divisions this money will go to the club.  If you wish to allocate other than equally between divisions and/or club please email .

$64 + $3.20 gst = $67.20