Keel Haulers Canoe Club Registration

Now you can pay your membership dues on-line.

        Pay $21 with your credit card or bank account, by using Paypal service.

Membership Renewal: Fill in your First & Last name and any changes required in current membership

New Members: Please fill out all information that is applicable.

Do not pay until you fill out the application.      

After you "Submit Registration" you will be shown a copy of your submittal.

Hit "Return to the Form" at bottom of form    
It will then return to a blank form, then click on the "Pay Dues" box on the right. >>>>>>>>
Or just use your Paypal account and send payment to dues@keelhauler.org

If you decide to pay by check, no need to fill out another application.
                                      Mail check to:
                                       Keel Haulers
                                       1649 Allen Dr
                                 Westlake, OH 44145

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
City
State
Zipcode & Zip+4 -  
Paddling Interest (check all that apply) Whitewater,  Sea Kayaking,  Flat Water,  Canoe Camping
Home Phone
Cell Phone  Work  -- Indicate which one to use in yearbook, if cell  phone is your home phone only list once.

Cell

Work Phone
Children's Names / Birth Year
Primary Email
Secondary Email
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).
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Web Author:  John Kobak
Copyright © 2003-5 Keel Haulers Canoe Club.  All rights reserved.
Revised: November 26, 2007 .