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Individual Membership Signup
2025 SRDBA Individual Membership Registration Form
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*
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Name
*
Please type your full first name (as shown on your drivers license)
Name (First)
Name (Last)
Gender
*
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Non-binary
Date of Birth
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Member Address
*
Member Address (Street)
Member Address (City)
Member Address (State / Province/Region)
Member Address (ZIP / Postal Code)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Member Address (Country)
Member Phone
*
Member Email
*
Enter Member Email
Confirm Email
Primary club you are a member of
*
Some clubs manage multiple clubs/teams. Choose the overarching club, then specify your specific club/team if prompted. Don't see your club? No worries! Select "Other" and let us know who we've left out. See an error? Please email:
[email protected]
Please click here to select your primary paddle club.
502 Dragon Boat Community, Inc.
Blazing Paddles
Blue Dragons Paddling Club
Boundary Waters Storm
Cape Coral Dragon Boat Club
C.H.A.R.G.E. Dragon Boat Team
Charleston Paddle Club (Charleston Firebreathers)
Charlotte Dragon Boat Association (Charlotte Fury)
Charlotte Harbor Dragons
Derby City Dragons
Dragon Boat at the Beach
Dragon Boat Atlanta
Dragon Boat Beaufort
Dragon Boat Charleston
Duval Dragons
Florida Tarpons Dragon Boat Team
Grand Masters Dragon Boat Club
Healing Dragons Charlotte
Healing Dragons of Lake James
Heart and Soul Dragon Boat Club
HEAT Dragon Boat Club
Hell Gate Sea Dragons
Invictus Paddling Club
Jacksonville Dragon Boat Club
Jax Fire Dragons
Kentucky Thorough-Breasts Dragon Boat Racing Team
Lake Acworth Dragons
Lake County Dragon Boat Club (Wun Fun Cru)
Lanier Canoe and Kayak Club
Mekong Dragons
Miami Dragon Slayers
MiraBay Dragon Boat Club
Moho Toso Dragon Boat Youth Program
Nature Coast Dragon Boat Club
NBP Paddling
Organized Chaos Dragon Boat Club
Oriental Dragon Boat Club (Dragon Masters)
Orlando Rowing Club-Dragon Boat Club
Orlando Warriors on Water
Peach State Dragon Boat Academy
PTC Dragons of GA
Puff Dragon Boat Racing Team
Raleigh Dragon Boat Club
Red Dragons Miami DBRT
Renegades Dragon Boat Racing Team
SACA Golden Dragons
Save Our Sisters DBT, Inc.
SAYC Salt Run Flyers Dragonboat Team
Tampa Bay Dragon Boat Club
Tampa River Dragon Boat Club
Team Survivor Tampa Bay AKA Pink Dragon Ladies
Tellico Heat Dragon Boat Club
TSRA Dragon Boat Team
Warring Redi Dragons
N/A Independent Paddler
Other
TEAMS: (Charlotte Harbor Paddlers)
*
Select the your primary Charlotte Harbor Paddlers team.
Draggin' Dragons
Rogue Dragons
Vogue Dragons (Women)
Other
TEAMS: (Dragon Boat Charleston)
*
Select the your primary Dragon Boat Charleston team.
Awakened Dragons (ACP)
Charleston Thunder (Men)
Eye of the Dragon (Outreach)
Holy City Silver Dragons (Women)
Paddles and Pearls (BCP)
Other
TEAMS: (Grand Masters Dragon Boat Club)
*
Select the your primary Grand Masters Dragon Boat Club team.
Blackheart
Dirty Dozen
Eastport Sun Dragons
Paddling Patriots
Silver Dragons
Sparta 70
Sunset Island Dragons
This Boat Rocks
Village Dragons
Warriors
Other
TEAMS: (Heart and Soul Dragon Boat Club)
*
Select the your primary Heart and Soul Dragon Boat Club team.
Heart and Soul Supporters Team
Heart and Soul "Sisters" (BCP)
Other
TEAMS: (Jacksonville Dragon Boat Club)
*
Select the your primary Jacksonville Dragon Boat Club team.
JDBC Mammoglams (BCP)
JDBC (non-BCP)
Other
TEAMS: (Jax Fire Dragons)
*
Select the your primary Jax Fire Dragons team.
JFD (non-BCP/ACP/PD)
JFD Limitless (BCP/ACP)
JFD Paradragons (PD)
Other
TEAMS: (Nature Coast Dragon Boat Club)
*
Select the your primary Nature Coast Dragon Boat Club team.
NCDBC Community Team
NCDBC Race Team
NCDBC Youth Team
Other
TEAMS: (NBP Paddling)
*
Select the your primary NBP Paddling team.
NBP Dragons
NBP Veterans
NBP Warriors (ACP)
Survivors In Sync, Inc. (BCP)
Other
TEAMS: (Orlando Rowing Club-Dragon Boat Club)
*
Select the your primary Orlando Rowing Club-Dragon Boat Club team.
Orlando Dragon Boat Club
Orlando ScORCh
Orlando Sirens (Women)
Other
TEAMS: (Raleigh Dragon Boat Club)
*
Select the your primary Raleigh Dragon Boat Club Club team.
RDBC Chemo-Kazes (ACP)
RDBC Relentless
Other
TEAMS: (Tampa Bay Dragon Boat Club)
*
Select the your primary Tampa Bay Dragon Boat Club team.
TBDBC Blade Runners
TBDBC Bladies (Women)
TBDBC Team Blue - Adapt (PD)
Other
Other
*
Do you hold membership in an additional club?
*
Yes
No
Secondary Club You Paddle with
*
Please click here to select your secondary paddle club.
502 Dragon Boat Community, Inc.
Blazing Paddles
Blue Dragons Paddling Club
Boundary Waters Storm
C.H.A.R.G.E. Dragon Boat Team
Charleston Paddle Club (Charleston Firebreathers)
Charlotte Dragon Boat Association (Charlotte Fury)
Charlotte Harbor Dragons
Charlotte Harbor Paddlers, Inc
Derby City Dragons
Dragon Boat at the Beach
Dragon Boat Atlanta
Dragon Boat Beaufort
Dragon Boat Charleston
Duval Dragons
Florida Tarpons Dragon Boat Team
Grand Masters Dragon Boat Club
Healing Dragons Charlotte
Healing Dragons of Lake James
Heart and Soul Dragon Boat Club
HEAT Dragon Boat Club
Hell Gate Sea Dragons
Invictus Paddling Club
Jacksonville Dragon Boat Club
Jax Fire Dragons
Kentucky Thorough-Breasts Dragon Boat Racing Team
Lake Acworth Dragons
Lake County Dragon Boat Club (Wun Fun Cru)
Lanier Canoe and Kayak Club
Mekong Dragons
Miami Dragon Slayers
MiraBay Dragon Boat Club
Moho Toso Dragon Boat Youth Program
Nature Coast Dragon Boat Club
NBP Paddling
Organized Chaos Dragon Boat Club
Oriental Dragon Boat Club (Dragon Masters)
Orlando Rowing Club-Dragon Boat Club
Orlando Warriors on Water
Peach State Dragon Boat Academy
PTC Dragons of GA
Puff Dragon Boat Racing Team
Raleigh Dragon Boat Club
Red Dragons Miami DBRT
Renegades Dragon Boat Racing Team
SACA Golden Dragons
Save Our Sisters DBT, Inc.
SAYC Salt Run Flyers Dragonboat Team
Tampa Bay Dragon Boat Club
Tampa River Dragon Boat Club
Team Survivor Tampa Bay AKA Pink Dragon Ladies
Tellico Heat Dragon Boat Club
TSRA Dragon Boat Team
Warring Redi Dragons
Other
Other
*
What is your role?
*
Select all that apply.
Select All
Coach
Drummer
Paddler
Steerer
Military Status
*
Select One
Active Duty
Veteran
Disabled Veteran
Military Spouse
N/A
Special Interest Divisions
*
Please select the Special Interest Division(s) you paddle with.
Select All
ACP: All Cancer Paddler
BCP: Breast Cancer Paddler
PD: Paradragon
N/A
Please upload a passport style headshot of yourself.
*
Image Requirements: Taken within the last 6 months, showing your current appearance. Full face, front view without sunglasses, or hat.
Drop files here or
Select files
Accepted file types: jpeg, jpg, png, tiff, Max. file size: 50 MB.
Payment Information
Cardholder's Name
*
Name on Card
Cardholder's Name (First)
Cardholder's Name (Last)
Cardholder's Email
*
Payment confirmations will be sent to this email address.
Enter Cardholder's Email
Confirm Email
Billing Address
*
Same as previous
Billing Address (Street)
Billing Address (City)
Billing Address (State / Province)
Billing Address (ZIP / Postal Code)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Billing Address (Country)
Membership Fee
*
Price:
Credit Card
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