I, ___________________________________________________________________________, (please print or type name Name of each person over 18, if family application) 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.

ALL _________________________________________________  ________

MEMBERS ____________________________________________  ________

SIGN _________________________________________________  ________

HERE ___________________________________________  ________
                Signature of each Member over 18                                                        Date

MINOR WAIVER : I also give permission for the following Minor Children: __________________________________________________________ _______________________________________________________________________ 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).

Signature of Adult Member FOR Minor WAIVER. ONLY