Membership application form

If you would like to become a member of Mangawhai Waka Ama Inc then please fill out the form below. Please note that your membership will not be valid until payment has been received.  You will receive an email confirming MWA bank account details for e-transfer after submitting this form and confirming your email address.

Membership is due by the 30th September every year for the following year (1st October – 30th September) and is paid annually. For new members we offer discounted memberships based on when you sign up throughout the year.

Please download and read our Club Information Pack for more details on joining MWA and membership fees.

Before submitting the form below you must also read the MWA Safety Plan

Personal Details

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Health disclosure

If you answered yes, please fill in field below.

Emergency contact details

Please add best contact in the unlikely event that you suffer an injury or require medical assisstance

Terms and Conditions