Please fill out
all applicable information
Waiver (Member's Mutual Agreement for Protection from
Liability)
I have read, understand, and accept the terms of the Waiver below
==> Read the Waiver Below!!!
No, I do not accept, cancel my Registration
Go to read Waiver
I am a current
member, this is a membership renewal. Only the entered fields will be changed
Last Name
First Name
Spouse/Significant Other-Last Name
Spouse/Significant Other-First Name
Address
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Zipcode & Zip+4
-
Paddling Interest (check all that apply)
Whitewater,
Sea
Kayaking, Flat
Water, Canoe Camping
Home Phone
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-- Indicate which one to use in yearbook, if cell phone is your
home phone only list once.
Cell
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Newsletter
I would like a newsletter mailed to me rather than reading
on-line.
Mailing List
Do not share my name/e-mail
with other organizations
Comment for Membership Chairman
When Form is complete hit - Submit Registration
It will return to a
blank form , then click on the "Pay Dues Box" on top right.
or
Member's Mutual Agreement for
Protection from Liability
I, desiring to join my fellow paddlers in the Keelhauler's
Canoe Club (the "Club"), do hereby declare that I fully understand and
accept the following facts of life on the river:
(1) Boating on whitewater rivers exposes participants
to various hazards. These hazards include (but are not limited to) loss
of life and/or limb or property damage caused by boulders and other obstacles,
strainers, undercut or entrapping formations, falls, holes, reversals,
and other water formations, changing conditions, cold, high water and other
hazards;
(2) No one but myself is responsible for judging
my qualifications for my safety when I choose to challenge my capabilities
by boating on a particular river, or a particular rapid;
(3) I may assist my fellow paddlers to the best
of my own ability if they appear to need such assistance - but only so
long as I can do so, in my judgment, without significant danger to myself.
I further understand that this does not imply any legal duty for me to
do so, nor for any one else to render such assistance to me.
Now, therefore, intending to be legally bound, I hereby
waive, for myself and for anyone else claiming through me, my right to
sue the Club, its officers and members, trip coordinators or any of my
fellow paddlers, for any injuries to my person or my equipment which may
occur during, in preparation from or in transit to or from a club outing.
The waiver applies to any negligent act or omission intended to promote
my safety or well-being.
This waiver is given in the interest of permitting the
Club to exist and to serve the paddling community, and to enable myself
and my fellow paddlers to feel free to donate our services and to help
each other without fear of liability.
My waiver is given in exchange for similar waivers to
be granted on my behalf by other members of the Club. Waiver has no expiration.
MINOR WAIVER : I also give permission for my Minor
Children (as named above in my application)
to participate in Club outings. I waive the rights described above with
respect to the named minor(s), and I further agree to indemnify the Club,
its officers and members, trip coordinators and other outing participants
from any claims arising from the participation of the above named minor(s).