Paddle Alberta Instructor Membership Application

Name:
Address:
City:
Province:
Postal Code:
Phone:	( )
Fax:	( )
Email:

Instructor Type (please check all that apply)

PC = Paddle Canada (formerly CRCA):

Paddle Alberta Waterfront Canoe Instructor	PC Moving Water I
Paddle Alberta Basic River Tandem	PC Moving Water II
Paddle Alberta Basic River Tandem/Solo	PC River Kayak I
Paddle Alberta River Tripping Leader	PC River Kayak II
PC Flatwater Canoe	PC Canoe Tripping I
PC Lakewater I	PC Canoe Tripping II
PC Flatwater Kayak	PC Sea Kayak I

Instructor Trainer Designations (please list):

Paddle Alberta Instructor Membership Fees:

Paddle Alberta Certified: $60 for 3 year membership
Paddle Canada Certified: $30 for 3 year membership

(if you have certifications in both, the fee is $30)

Keep up to date on recreational paddling in Alberta and Canada.
Paddle Alberta Instructor Members are eligible for one Instructor Certification Upgrade Subsidy per year. Please contact Paddle Alberta for current policy details or refer to website.
Financial assistance is available to Paddle Alberta Member Clubs/Organizations through Paddle Alberta Matching Funds Program for equipment purchases, building development and Instructor Certification Development.
Participate in environmental and safety issues and programs affecting our paddling environment.
Networking opportunities with other Instructors and clubs and organizations across the province.
Instructor Website that keeps you informed of employment opportunities, Instructors –For-Hire list, changes to certification programs and upcoming courses and recertification clinics.

Volunteer Opportunities:

Executive positions (President, Vice-President, Secretary, Treasurer, Education Chair, Safety Chair and Environmental Chair)
Participate in Education and Environmental Committees.

Privacy Statement:

Respecting your privacy is important to us and we will not divulge your personal information to outside parties without your permission. Please contact us at 1-877-388-2722 or info@paddlealberta.org if you have any questions regarding your personal information or its use.

Your membership information is for Paddle Alberta /CRCA use only. However, many groups and individuals across the province contact Paddle Alberta to find instructors in their area. Please indicate below whether or not you will allow Paddle Alberta to distribute your contact information.

Do you wish your contact information to be included on our “instructors for hire” page on our website (www.paddlealberta.org)?
YES
NO

If yes, please indicate your contact information:
Same as above

Address:
City:
Province:
Postal Code:
Phone:	( )
Fax:	( )
Email:

Do you wish us to distribute any of your personal information to groups looking for instructors?
YES
NO

If yes, please indicate which contact information:
Same as above

Address:
City:
Province:
Postal Code:
Phone:	( )
Fax:	( )
Email: