Membership Registration – KWC Bassmasters

Membership application

KWC Bassmasters · Club #8662

To be eligible to participate in club events you must hold a current BASS membership. Boaters must hold a Pleasure Craft Operator Card and present proof of insurance and their PCO card to the Tournament Director. All anglers must be able to fish legally in Ontario - either a valid Ontario fishing licence, or the identification Ontario accepts in its place for exempt anglers (such as those under 18 or 65 and older, eligible veterans and active Canadian Armed Forces members, and anglers with a qualifying disability).

Membership

Membership type *

FullAssociate

Application *

New memberRenewal

Personal information

First name *

Last name *

Date of birth

Address

Street address *

Unit / Apt

City / Town *

Province / State *

Postal / ZIP code *

Contact

Phone *

Email *

Emergency contact

Contact name *

Contact phone *

Additional information

BASS Federation #

BASS Membership Expiry

PleasureCraft Operators Card #

Ontario Fishing License Expiry

Parent / Guardian Name (if under 18)

Emergency Contact Relationship

Emergency Alternate Phone

Payment

How will you pay your dues? *

Cashe-TransferCheque

$100Annual membership dues.