NCSP Membership Registration Form

NCSP Membership Registration

Complete the form below to sign up for your 2022 membership.
Be sure to SUBMIT by using the button at the bottom of the page after everything is filled out. Thanks!
I plan on attending Spring Training April 29th-May 1, 2022 *

YES MAYBE NO
Member Name *

First Name Last Name
Birth Date: *

Month Day Year
2nd Family Name

First Name Last Name
Birth Date:

Month Day Year
3nd Family Name

First Name Last Name
Birth Date:

Month Day Year
4th Family Name

First Name Last Name
Birth Date:

Month Day Year
5th Family Name

First Name Last Name
Birth Date:

Month Day Year
Address *

Street Address

Street Address Line 2

City State

Zip Code
E-mail
Primary Phone : *
Alternate Phone:
Share contact (email & primary phone) with other members? *

YES NO
Emergency contact *

Street Address

Name

Relationship to member(s)
Emergency contact Phone Number *

Area Code Phone Number
Latest First Aid Certification *
Expiration date *

Month Day Year
Latest CPR Certification *
Expiration date *

Month Day Year
Any additional rescue certifications
EMT, Swiftwater, etc.
Please add certification information for additional family members if different then above
Attached a copy of your current certifications:

Browse Files
Take a photo of your card or upload the pdf file Cancel of
2022 Waiver
Download (using the down arrow, below right), print, fill out, bring to Spring Training or save and upload the finish waiver below
Upload your signed waiver here:

Browse Files
Can also except a photo of the signed waiver Cancel of
Membership Level
Membership Category *

Active Axillary Junior Reserved Honorary New/Probationary
Membership Caterories
- Active membership, shall be open to all persons 18 years of age, or older who x have successfully competed the requirements of the probationary membership and have remained in good standing
- Auxillary membership, shall be available to those members who wish to be affiliated with the NCSP, but who are unable to meet the training, and/or service standards required to remain an Active member in good standing. Such persons shall be expected to continue dues payment and continue to have all privileges of membership, save that they may not hold office, or vote, and that their public service may be limited to a support role at the discretion of the Commodore.
- Junior membership, shall be open to those persons under 18 years of age , who are sponsored, and directly supervised by an active member who is so authorized by a parent or guardian. Junior members will generally be restricted to support functions, and shall never be exposed to conditions beyond their skill level.
- Reserve membership, shall be available to those members who have completed at least one year of Active membership in good standing, and who wish to remain affiliated with the NCSP, but who are unable to meet the training, and/or service standards required to remain an Active member in good standing. Such persons shall be expected to continue dues payment and continue to have all privileges of membership, save that they may not hold office, or vote, and that their public service may be limited to a support role at the discretion of the Commodore.
- Honorary membership, shall be open to persons whose affiliation will promote the good of the organization. Such membership will be by majority vote of the Executive Board. Honorary membership will not require payment of dues. Honorary members shall not have the right to vote or hold office. Other rights and privileges shall be at the discretion of the Executive Board. Honorary membership shall expire at the end of each calendar year, and may be renewed at the pleasure of the Executive Board.
- New/Probationary membership, shall be open to all persons 18 years of age or older who are joining the NCSP for the first time or reinstating an inactive membership. Members shall remain as probationary until such member has successfully completed a training weekend and have completed at least 4 patrols days supervised by designated veteran members. Probationary members have all rights and privileges of a active members except they may not patrol without a designated veteran member, may not hold office, and hold no vote at any meeting or election. Once a probationary member has completed the minimum requirements defined by the training committee and the board of directors, they will be promoted to Active Member. This Active Membership may be revoked if the member fails to attend the following two annual training sessions.
Annual dues

Single: $30 Family: $60

New/Probationary: Single $60 Family $120
- Annual dues shall be paid per calendar year for returning members in good standing.
- Family membership shall be paid per calendar year for 2 adults in a household. Junior members in a household are included without additional charge.
- New members (probationary) initiation fee will be the 2-year dues for both single membership and for family memberships.Those whose membership has lapsed for more than one calendar year shall be subject to the new member initiation fee.
You can pay via PayPal by clicking the image below or pay by check or cash at training weekend. Because of the Covid-19 payments are prefer via PAYPAL, you do not have to have a PayPal account to use paypal. Can pay using major debit and credit cards.
REMEMBER TO COME BACK TO THIS FORM AFTER PAYING TO SUBMIT BY USING THE BUTTON BELOW
(Yes, that is a picture of our Treasurer, Jim Schulte)
Have a question, let us know then we will get back to you.
Any questions?
REMEMBER TO SUBMIT BY USING THE BUTTON BELOW
Thank you for submiting your registration.

Remember bring your signed wavier and your proof of CPR / First Aid certifications to Spring Training with you if you didn't upload them here.
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NCSP Membership Registration

2022 Waiver

Membership Level