FOR
NEW AND CONTINUING MEMBERS
The Whatcom Canoe Club membership is open to all. Yearly membership requires completion and signature of a Membership Application form and dues payment.
Annual dues: $10 per
individual; $15 per couple/per
family
This Membership Application Form contains a Waiver of
Liability and Assumption of Risk Agreement that must be read, completed and
signed prior to becoming a member of the Whatcom Canoe Club. Send these completed
forms and a check made out to "Charlene
MacKenzie, WCC Treasurer"
to:
Charlene
MacKenzie
Application (check one): New Member: _______ or Renewal: ______
Name
(Please print)
Address
City/State/Zip
Phone numbers
Email address
Canoeing experience/skill level
What type of canoeing do you prefer?
Lakes/flat water Moving
Water White
water
Camping Family Unsure
Are you interested in?
Leading trips Being an officer Instructing
Activities Raising $$$
Do you presently own a canoe?
If so what type/model?
rev. 2/28/06
WHATCOM CANOE CLUB
WAIVER OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENT
Waiver
I
the undersigned, realize danger exists in my participation in canoeing,
kayaking and all other water sports/activities. I am in sufficient health to be
able to participate in such activities and assume full responsibility for my
safety and the safety of any minor accompanying me. I realize that my
participation may result in illness or injury due to accidents, the forces of
nature, mistakes in judgement, carelessness or many other foreseeable and/or
not foreseeable causes. I understand that I take full responsibility for
making an independent judgement whether to participate and continue
participating in any activity. In consideration for participating in all
Whatcom Canoe Club (hereinafter the “Club”) activities, I hereby waive any
claim for damages against the “Club”, and/or its officers, and/or fellow
participants and/or club members.
I
also understand that I assume full responsibility for any and all minor(s) who
are included within this membership and/or accompany me during any “Club”
activities. Therefore, on behalf of these minor(s), I hereby waive their claims
for any damages against the “Club”, and/or its officers, and/or fellow participants
and/or “Club” members.
Minor(s) are defined as any child under eighteen (18) years
of age.
Release of Liability
In
consideration for receiving the benefits of membership in the Whatcom Canoe
Club (hereinafter the “Club”), I hereby, on behalf of myself, my personal
representatives and my heirs, release and hold harmless the Whatcom Canoe Club
and its officers, members, agents, coaches, instructors, other participants,
sponsors, and owners of premises used from any and all claims and suits for bodily
injury, property damage, wrongful death and/or personal injury which arises out
of my participation in “Club” activities. I also release and hold harmless the
“Club” and its officers, its members and agents from any and all claims and
suits for bodily injury, property damage, wrongful death or personal injury
which arises out of any and all minor(s) under my responsibility participating
in “Club” activities.
I
HAVE READ THE ABOVE WAIVER AND RELEASE OF LIABILITY AND UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT.
I SIGN IT
VOLUNTARILY.
Signature________________________________________________Date_____________
Printed
Name
Signature
Date
Printed Name
Signature of Minor
Date
Signature
of Parent or Guardian of Minor
Whatcom Canoe Club, http://whatcomcanoeclub.home.comcast.net/, rev. 2/28/2006