Register Follow us on Social Media facebook x instagramwhatsappSign up for Personal Membership * Username * First Name * Last Name * Email Address * PasswordStrength: Very Weak * Name * Date of Birth * Address 1 Address Line 2 * Post Town County * Post Code * Telephone* PhotoDone(Use Cropper to set image and use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.Please upload a passport-style photograph of yourself * Please give brief details of your disability* Supporting DocumentationDrop file here or click to select.Acceptable proof would be a car blue badge (side showing your details), current letter from DWP, etc. Second AdultPlease enter the name of your co-member as you wish it to appear.Second Adult photoDrop file here or click to select. Under 18sPlease enter names of any under 18s resident at your address who you wish to be included in your membership* Boaters' Blue CardYesNoDo you wish to apply for a free pair of Boaters' Blue Cards?* In what way do you enjoy our waterways?BoaterTowpath walker/wheelerCyclistAnglerGongoozlerVolunteerOtherPlease select all that apply CommentsPlease enter any further comments if you wish Membership NumberAWA use onlySubmit Share on Social Media facebook xwhatsapp
